DR. MARY JO IRONSIDE MD
NPI 1275579658
Family Medicine in Rockford, IL

Q: What is Mary Jo Ironside's NPI number?

The NPI number for Mary Jo Ironside is 1275579658. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Mary Jo Ironside's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Jo Ironside was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment

1221 E STATE ST, ROCKFORD, IL 61104(815) 972-1000(815) 972-1086 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2023, Oct 27, 2023 (2 updates tracked since 2023).

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About Dr. Mary Jo Ironside Md NPPES

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

DR. MARY JO IRONSIDE MD (NPI 1275579658) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036069571) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1983).

NPPES Registry Identity

NPI1275579658

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARY JO IRONSIDECredential: MD

Location Address1221 E STATE STRockford, IL 61104-2231

Mailing Address1601 Parkview Ave, Credentialing S200cRockford, IL 61107-1822 · (815) 395-5861 · Fax (815) 395-5575

Phone(815) 972-1000

Fax(815) 972-1086

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1983

Enumeration DateJune 22, 2006

Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1275579658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036069571

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1221 E STATE ST, Rockford, IL 61104

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Other Names 1

Other Name (5)Mary Jo Ross

Other Identifiers 1

Medicaid036069571IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Quartz.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. Mary Jo Ironside 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 ID8325180151

PECOS Enrollment IDI20100116000323

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.

Hospital Affiliations CMS Care Compare 2

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims32 services$5.37 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$169.80 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. MICHAEL JAMES POLIZZOTTO M.D.

Family Medicine

1221 E STATE ST
ROCKFORD, IL 61104

Winnebago County (815) 972-1000

DR. ANNA MEENAN M.D.

Family Medicine