DR. JACKLYN M HAGEDORN MD
NPI 1174783039
Internal Medicine - Pulmonary Disease in Chicago, IL

Q: What is Jacklyn Hagedorn's NPI number?

The NPI number for Jacklyn Hagedorn is 1174783039. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Q: What is Jacklyn Hagedorn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Jacklyn Hagedorn was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2008PECOS EnrolledAccepts Medicare Assignment

1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacklyn M Hagedorn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKLYN M HAGEDORN MD (NPI 1174783039) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (036129053) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Rush Medical College Of Rush University (2007).

NPPES Registry Identity

NPI1174783039

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JACKLYN M HAGEDORNCredential: MD

Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-5901

Phone(312) 942-5000

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2007

Enumeration DateJune 13, 2008

Last NPPES UpdateJanuary 20, 2016

✔ NPI 1174783039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in IL · 036129053

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125053105 (IL)

1653 W CONGRESS PKWY, Chicago, IL 60612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacklyn M Hagedorn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638497191

PECOS Enrollment IDI20150413001063

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

242 services116 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

119 services57 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH ELIZABETH RIMAR M.D.

Internal Medicine