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DR. JAY A PICKETT MD
NPI 1467425215
Family Medicine in Waterloo, IL

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
509 HAMACHER ST, SUITE 102, WATERLOO, IL 62298(618) 939-3939(618) 939-3941 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jay A Pickett Md NPPES

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

DR. JAY A PICKETT MD (NPI 1467425215) is an individual family medicine provider in Waterloo, Illinois, licensed in Illinois (036 081291) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1985).

NPPES Registry Identity

NPI1467425215
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAY A PICKETTCredential: MD
Location Address509 HAMACHER ST, SUITE 102Waterloo, IL 62298-1592
Mailing Address509 Hamacher St, Suite 102Waterloo, IL 62298-1592 · (618) 939-3939 · Fax (618) 939-3941
Phone(618) 939-3939
Fax(618) 939-3941
Sole ProprietorYes
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1985
Enumeration DateFebruary 10, 2006
Last NPPES UpdateFebruary 17, 2015
✔ NPI 1467425215 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 081291
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.
509 HAMACHER ST, Waterloo, IL 62298
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Other Identifiers 3

Medicare PINL50856IL
Medicaid036081291IL
Medicare UPIND42332

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Jay A Pickett 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 ID9830145440
PECOS Enrollment IDI20050531000865, I20111118000069
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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
84 services12 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.
47 services47 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.
37 services35 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
26 services26 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62298 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
68%411 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
65%1,006 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
31%165 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%9,692 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
49%561 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%262 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
54%2,775 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%2,775 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%2,775 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%2,775 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KERRI DOCKINS-HALL PT
Physical Therapist
509 HAMACHER ST, STE 101
WATERLOO, IL 62298
Monroe County (618) 939-5555
ELISHA F SCHNIEDERS CPNP
Nurse Practitioner (Pediatrics)
509 HAMACHER ST, SUITE 103
WATERLOO, IL 62298
Monroe County (618) 939-2273
SOUTHERN ILLINOIS CENTER FOR HEALTH
Family Medicine
509 HAMACHER ST
WATERLOO, IL 62298
Monroe County (618) 939-3939
SOUTHERN ILLINOIS IMAGING ASSOCIATES, LLC
Radiology (Diagnostic Radiology)
509 HAMACHER ST, SUITE 300
WATERLOO, IL 62298
Monroe County (618) 939-9790
FOOT & ANKLE CENTER, LLC
Podiatrist (Foot & Ankle Surgery)
509 HAMACHER ST, SUITE 202
WATERLOO, IL 62298
Monroe County (618) 939-5979
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Internal Medicine (Interventional Cardiology)
509 HAMACHER ST
WATERLOO, IL 62298
Monroe County (618) 939-4200
PARKCREST ORTHOPEDICS LLC
Orthopaedic Surgery
509 HAMACHER ST, STE 202
WATERLOO, IL 62298
Monroe County (314) 997-1777
ASSOCIATED PHYSICIANS GROUP LTD
Physician Assistant
509 HAMACHER ST, SUITE 202
WATERLOO, IL 62298
Monroe County (618) 939-5979

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 Jay Pickett's NPI number?

The NPI number for Jay Pickett is 1467425215. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Jay Pickett located?

Jay Pickett practices at 509 Hamacher St Suite 102, Waterloo, IL 62298. The listed phone number is (618) 939-3939.

What is Jay Pickett's specialty?

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

Is Jay Pickett enrolled in Medicare?

Yes. Jay Pickett 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 Jay Pickett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Jay Pickett 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.

When was this NPI record last updated?

The NPPES record for Jay Pickett was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.