MR. JACK STEPHEN CREAGMILE MD
NPI 1659909497
Ophthalmology - Glaucoma Specialist in Loma Linda, CA
About Mr. Jack Stephen Creagmile Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACK STEPHEN CREAGMILE MD (NPI 1659909497) is an individual glaucoma specialist in Loma Linda, California, licensed in California (A193595) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Jack Stephen Creagmile 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Creagmile's NPI number?
The NPI number for Jack Creagmile is 1659909497. It was assigned to this individual provider in the NPPES registry on March 28, 2020.
Where is Jack Creagmile located?
Jack Creagmile practices at 11370 Anderson St # 1800, Loma Linda, CA 92354. The listed phone number is (909) 558-2154.
What is Jack Creagmile's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.
Is Jack Creagmile enrolled in Medicare?
Yes. Jack Creagmile 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.
When was this NPI record last updated?
The NPPES record for Jack Creagmile was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Jack Stephen Creagmile, MD · NPI 1659909497
Glaucoma Specialist physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since March 28, 2020.
## Identity
- **NPI:** 1659909497 (Entity type: Individual)
- **Enumerated:** March 28, 2020
- **Primary specialty:** Ophthalmology - Glaucoma Specialist · taxonomy 207WX0009X
- **State license:** A193595 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11370 ANDERSON ST # 1800, Loma Linda, CA 92354-3450
- **Phone:** (909) 558-2154
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Rush Medical College Of Rush University, class of 2020
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659909497) · Data from the CMS NPPES public registry.