JACK W LENOX M.D.
NPI 1508979345
Obstetrics & Gynecology - Gynecology in Rockford, IL

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
1235 N MULFORD RD, STE 200, ROCKFORD, IL 61107(815) 965-6644(815) 965-2901 Get Directions Write a Review

NPPES record last updated: December 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jack W Lenox M.d. NPPES

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

JACK W LENOX M.D. (NPI 1508979345) is an individual gynecology provider in Rockford, Illinois, licensed in Illinois (03608164) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Indiana University School Of Medicine (1984).

NPPES Registry Identity

NPI1508979345
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameJACK W LENOXCredential: M.D.
Location Address1235 N MULFORD RD, STE 200Rockford, IL 61107-3879
Mailing Address1235 N Mulford Rd, Ste 200Rockford, IL 61107-3879 · (815) 965-6644 · Fax (815) 965-2901
Fax(815) 965-2901
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1984
Enumeration DateAugust 16, 2006
Last NPPES UpdateDecember 27, 2020
NPPES CertifiedDecember 27, 2020
✔ NPI 1508979345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 03608164
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1235 N MULFORD RD, Rockford, IL 61107

Other Identifiers 2

Other10100643Bluecross
Medicaid03608164IL

Accepted Insurance

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

Jack W Lenox 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 ID7113097429
PECOS Enrollment IDI20080529000366
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jack Lenox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
698 FEATHERSTONE RD
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 67 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 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.

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.
49 services37 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.
29 services23 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
28 services26 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria 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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Orthopaedic Surgery
1235 N MULFORD RD
ROCKFORD, IL 61107
Nurse Practitioner
1235 N MULFORD RD, SUITE 205
ROCKFORD, IL 61107
Prosthetic/Orthotic Supplier
1235 N MULFORD RD, SUITE 100A
ROCKFORD, IL 61107
Orthopaedic Surgery
1235 N MULFORD RD, STE 100
ROCKFORD, IL 61107
Counselor (Professional)
1235 N MULFORD RD, SUITE 200
ROCKFORD, IL 61107
Orthopaedic Surgery
1235 N MULFORD RD
ROCKFORD, IL 61107
Otolaryngology
1235 N MULFORD RD, SUITE 100
ROCKFORD, IL 61107
Clinic/Center (Pain)
1235 N MULFORD RD
ROCKFORD, IL 61107

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 Lenox's NPI number?

The NPI number for Jack Lenox is 1508979345. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Jack Lenox located?

Jack Lenox practices at 1235 N Mulford Rd Ste 200, Rockford, IL 61107. The listed phone number is (815) 965-6644.

What is Jack Lenox's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Jack Lenox enrolled in Medicare?

Yes. Jack Lenox 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 organizations bill Medicare for Jack Lenox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Lenox reassigns Medicare benefits to 2 organizations: Saint Anthony Medical Center (Rockford, IL) and Osf Multi-Specialty Group (Peoria, IL). Each 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 Lenox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Lenox accept?

Health plans from Dean Health Plan list Jack Lenox 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 Jack Lenox affiliated with any hospitals?

According to CMS data, Jack Lenox is affiliated with Saint Francis Medical Center, Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Lenox was last updated on December 27, 2020. 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.