MR. JACK LEE MCPHERSON MD
NPI 1295712982
Family Medicine in Macomb, IL
About Mr. Jack Lee Mcpherson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACK LEE MCPHERSON MD (NPI 1295712982) is an individual family medicine provider in Macomb, Illinois and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1973).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jack Lee Mcpherson 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.
Medicare Billing Reassignment
Medicare enrollment records show Jack Mcpherson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Macomb, IL 61455
- Reassigned Medicare billing, Illinois enrollment
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILMc Donough District Hospital
Acute Care Hospitals · Macomb, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MACOMB, IL 61455
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 Jack Mcpherson's NPI number?
The NPI number for Jack Mcpherson is 1295712982. It was assigned to this individual provider in the NPPES registry on December 23, 2005.
Where is Jack Mcpherson located?
Jack Mcpherson practices at 505 E Grant St, Macomb, IL 61455. The listed phone number is (309) 833-1733.
What is Jack Mcpherson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jack Mcpherson enrolled in Medicare?
Yes. Jack Mcpherson 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.
Which organization bills Medicare for Jack Mcpherson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Mcpherson reassigns Medicare benefits to Mcdonough County Hospital District (Macomb, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Mcpherson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jack Mcpherson affiliated with any hospitals?
According to CMS data, Jack Mcpherson is affiliated with St Johns Hospital and Mc Donough District Hospital.
When was this NPI record last updated?
The NPPES record for Jack Mcpherson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.