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JACKSON ROSS SMITH PA-C
NPI 1598659963
Physician Assistant in Mchenry, IL

Active since June 09, 2025PECOS EnrolledAccepts Medicare Assignment
2620 ARBOR DR, MCHENRY, IL 60050(815) 385-9877 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 18, 2025, Jun 9, 2025 (2 updates tracked since 2025).

About Jackson Ross Smith Pa-c NPPES

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

JACKSON ROSS SMITH PA-C (NPI 1598659963) is an individual physician assistant in Mchenry, Illinois, licensed in (1236209) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1598659963
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACKSON ROSS SMITHCredential: PA-C
Location Address2620 ARBOR DRMchenry, IL 60050-2694
Mailing Address2620 Arbor DrMchenry, IL 60050-2694 · (815) 387-9877
Phone(815) 385-9877
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 9, 2025
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1598659963 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 · 1236209
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.
2620 ARBOR DR, Mchenry, IL 60050
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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

Jackson Ross Smith 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 ID8224535570
PECOS Enrollment IDI20251010003010
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.

Hospital Affiliations CMS Care Compare

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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.

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 Jackson Smith's NPI number?

The NPI number for Jackson Smith is 1598659963. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Jackson Smith located?

Jackson Smith practices at 2620 Arbor Dr, Mchenry, IL 60050. The listed phone number is (815) 385-9877.

What is Jackson Smith's specialty?

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

Is Jackson Smith enrolled in Medicare?

Yes. Jackson Smith 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 Jackson Smith affiliated with any hospitals?

According to CMS data, Jackson Smith is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Jackson Smith was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.