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JACQUELINE OLIVO MD
NPI 1295767366
Family Medicine in Chicago, IL

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
2412 W FULLERTON AVE, CHICAGO, IL 60647(773) 384-7977 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Olivo Md NPPES

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

JACQUELINE OLIVO MD (NPI 1295767366) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-115930) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1295767366
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELINE OLIVOCredential: MD
Location Address2412 W FULLERTON AVEChicago, IL 60647-3155
Mailing Address5753 W Dakin StChicago, IL 60634-2606 · (773) 427-6683
Phone(773) 384-7977
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 20, 2007
✔ NPI 1295767366 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 · 036-115930
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.
2412 W FULLERTON AVE, Chicago, IL 60647
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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

Jacqueline Olivo 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 ID7618972381
PECOS Enrollment IDI20061002000544
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 7

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
137 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services26 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
34 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
15 services15 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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
$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.

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
9 suppliers17 claims50 services$5.44 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$27.03 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 3

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

VIRU SC
Clinic/Center (Primary Care)
2412 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 384-7977
MARTHA DE SANTAIGO APN-CNP
Nurse Practitioner
2412 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 384-7977
VIRU SC
Family Medicine
2412 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 423-6178

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 Olivo's NPI number?

The NPI number for Jacqueline Olivo is 1295767366. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Jacqueline Olivo located?

Jacqueline Olivo practices at 2412 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 384-7977.

What is Jacqueline Olivo's specialty?

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

Is Jacqueline Olivo enrolled in Medicare?

Yes. Jacqueline Olivo 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 Olivo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jacqueline Olivo 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 Olivo affiliated with any hospitals?

According to CMS data, Jacqueline Olivo is affiliated with Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Olivo was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.