DR. JACQUELINE LEE HARRISON M.D.
NPI 1215952536
Colon & Rectal Surgery in Chicago, IL

Q: What is Jacqueline Harrison's NPI number?

The NPI number for Jacqueline Harrison is 1215952536. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Jacqueline Harrison's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

1969 W OGDEN AVE, DEPT. OF SURGERY, CHICAGO, IL 60612(312) 996-9336(312) 355-3763 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2021, Jun 26, 2020 (2 updates tracked since 2020).

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About Dr. Jacqueline Lee Harrison M.d. NPPES

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

DR. JACQUELINE LEE HARRISON M.D. (NPI 1215952536) is an individual colon & rectal surgery provider in Chicago, Illinois, licensed in Illinois (036-097361) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1995).

NPPES Registry Identity

NPI1215952536

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameDR. JACQUELINE LEE HARRISONCredential: M.D.

Location Address1969 W OGDEN AVE, DEPT. OF SURGERYChicago, IL 60612-3765

Mailing Address840 S Wood St, Dept. Of Surgery - Mc 958Chicago, IL 60612-4325 · (312) 996-9936 · Fax (312) 355-3763

Phone(312) 996-9336

Fax(312) 355-3763

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1995

Enumeration DateJuly 13, 2006

Last NPPES UpdateApril 26, 20212 updates tracked since enumeration

NPPES CertifiedApril 26, 2021

✔ NPI 1215952536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in IL · 036-097361

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 036-097361 (IL)

1969 W OGDEN AVE, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Jacqueline Lee Harrison M.d. 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 ID749462125

PECOS Enrollment IDI20110307000206

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

90 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services11 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag and without catheter (accessories only) A4310

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims11 services$6.77 avg. paid by Medicare

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$22.23 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$8.51 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$5.81 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

1 supplier11 claims44 services$1.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. VIGNESH CHIDAMBARAM MD, MPH

Internal Medicine (Cardiovascular Disease)

1969 W OGDEN AVE
CHICAGO, IL 60612

Cook County (312) 864-6000

LUCAS KUZMANIC DO

Internal Medicine

1969 W OGDEN AVE
CHICAGO, IL 60612

Cook County (312) 864-6000

KEERTHIKA VIJAYAKUMAR MBBS

Internal Medicine

1969 W OGDEN AVE
CHICAGO, IL 60612

Cook County (312) 864-6000

DR. KEVIN BOUBOULEIX

Emergency Medicine

1969 W OGDEN AVE
CHICAGO, IL 60612

Cook County (312) 864-6000

NABEEL ZIA AHMED

Internal Medicine

1969 W OGDEN AVE
CHICAGO, IL 60612

Cook County (312) 864-6000

DR. VAMSI KRISHNA KAZA M.D., MBBS

Internal Medicine

1969 W OGDEN AVE
CHICAGO, IL 60612

Cook County (312) 864-6000

CHRISTINE MARIA WHIPPLE LCSW

Social Worker (Clinical)

1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612

Cook County (312) 864-1466

LESLIE FENIO PA-C

Physician Assistant

1969 W OGDEN AVE
CHICAGO, IL 60612

Cook County (312) 864-7761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Harrison's NPI number?

The NPI number for Jacqueline Harrison is 1215952536. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Jacqueline Harrison located?

Jacqueline Harrison practices at 1969 W Ogden Ave Dept. Of Surgery, Chicago, IL 60612. The listed phone number is (312) 996-9336.

What is Jacqueline Harrison's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jacqueline Harrison enrolled in Medicare?

Yes. Jacqueline Harrison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Harrison accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jacqueline Harrison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Harrison affiliated with any hospitals?

According to CMS data, Jacqueline Harrison is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Harrison was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.