1. Home
  2. Directory
  3. Illinois
  4. Evanston
  5. Pediatrics
  6. NPI Profile

LISA C TYBOR-JARACZEWSKI MD
NPI 1619042157
Pediatrics in Evanston, IL

Active since November 21, 2006PECOS Enrolled
909 DAVIS ST, SUITE 200, EVANSTON, IL 60201(847) 866-3700(847) 866-3731 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa C Tybor-jaraczewski Md NPPES

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

LISA C TYBOR-JARACZEWSKI MD (NPI 1619042157) is an individual pediatrics provider in Evanston, Illinois, licensed in Illinois (036090727) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619042157
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLISA C TYBOR-JARACZEWSKICredential: MD
Location Address909 DAVIS ST, SUITE 200Evanston, IL 60201-3645
Mailing Address2650 Ridge Ave, Evanston HospitalEvanston, IL 60201-1718 · (847) 570-1206 · Fax (847) 570-1248
Phone(847) 866-3700
Fax(847) 866-3731
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1619042157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036090727
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
909 DAVIS ST, Evanston, IL 60201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa C Tybor-jaraczewski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lisa Tybor-jaraczewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
1.1 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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.

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.

AFREEN NAZ PAPA MD
Internal Medicine
909 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 866-3700
ERIC O FERNANDEZ MD
Family Medicine
909 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 982-6710
CLAIRE PARMENTER DPT
Physical Therapist
909 DAVIS ST, SUITE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DR. MARIAM R MOURAD PH.D.
Psychologist (Clinical)
909 DAVIS ST, SUITE 160
EVANSTON, IL 60201
Cook County (847) 425-6445
JENNIFER WRIGHT BS
Physical Therapy Assistant
909 DAVIS ST, STE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DAVID BELLISARIO DPT
Physical Therapist
909 DAVIS ST, SUITE 220
EVANSTON, IL 60201
Cook County (847) 733-7906
DANIEL GIACOMO MD
Psychiatry & Neurology (Psychiatry)
909 DAVIS ST, SUITE 160
EVANSTON, IL 60201
Cook County (847) 425-6400
TEDDY HSU OT
Occupational Therapist
909 DAVIS ST, STE 220
EVANSTON, IL 60201
Cook County (847) 733-7906

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 Lisa Tybor-jaraczewski's NPI number?

The NPI number for Lisa Tybor-jaraczewski is 1619042157. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Lisa Tybor-jaraczewski located?

Lisa Tybor-jaraczewski practices at 909 Davis St Suite 200, Evanston, IL 60201. The listed phone number is (847) 866-3700.

What is Lisa Tybor-jaraczewski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Tybor-jaraczewski enrolled in Medicare?

Yes. Lisa Tybor-jaraczewski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Tybor-jaraczewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Tybor-jaraczewski reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 Lisa Tybor-jaraczewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Tybor-jaraczewski was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.