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JACOB PARK PA-C
NPI 1528463346
Physician Assistant in Chicago, IL

Active since October 23, 2014PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
1740 W TAYLOR ST RM 724W, CHICAGO, IL 60612(402) 314-8567 Get Directions Write a Review

NPPES record last updated: February 24, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jacob Park Pa-c NPPES

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

JACOB PARK PA-C (NPI 1528463346) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (85-005291) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528463346
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB PARKCredential: PA-C
Location Address1740 W TAYLOR ST RM 724WChicago, IL 60612-7232
Mailing Address1740 W Taylor St Rm 724wChicago, IL 60612-7232 · (402) 314-8567
Phone(402) 314-8567
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 23, 2014
Last NPPES UpdateFebruary 24, 2024
NPPES CertifiedFebruary 24, 2024
✔ NPI 1528463346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 85-005291
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1740 W TAYLOR ST RM 724W, Chicago, IL 60612
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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

Jacob Park Pa-c 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 ID7113241621
PECOS Enrollment IDI20150109001393
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
126 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
43 services12 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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 Jacob Park's NPI number?

The NPI number for Jacob Park is 1528463346. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Jacob Park located?

Jacob Park practices at 1740 W Taylor St Rm 724W, Chicago, IL 60612. The listed phone number is (402) 314-8567.

What is Jacob Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Park enrolled in Medicare?

Yes. Jacob Park 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.

Is Jacob Park affiliated with any hospitals?

According to CMS data, Jacob Park is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Jacob Park was last updated on February 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.