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JENNIFER DIMOND MD
NPI 1669932737
Internal Medicine in Lake Forest, IL

Active since March 23, 2019PECOS Enrolled
93.08/100
CMS Quality Rating
915 S WAUKEGAN RD, LAKE FOREST, IL 60045(847) 234-8866(847) 234-4682 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2023, Aug 13, 2021, Mar 23, 2019 (3 updates tracked since 2019).

About Jennifer Dimond Md NPPES

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

JENNIFER DIMOND MD (NPI 1669932737) is an individual internal medicine provider in Lake Forest, Illinois, licensed in Illinois (036162764) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1669932737
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJENNIFER DIMONDCredential: MD
Location Address915 S WAUKEGAN RDLake Forest, IL 60045-2654
Mailing Address915 S Waukegan RdLake Forest, IL 60045-2654 · (847) 234-8866 · Fax (847) 234-4682
Phone(847) 234-8866
Fax(847) 234-4682
Sole ProprietorNo
Enumeration DateMarch 23, 2019
Last NPPES UpdateFebruary 3, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
✔ NPI 1669932737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036162764
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
915 S WAUKEGAN RD, Lake Forest, IL 60045
Open in Google Maps ↗

Secondary Practice Location 1

Location 199 Beauvoir AveSummit, NJ 07901-3533 · Phone (908) 522-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Dimond 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 Jennifer Dimond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
15 mi
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760

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 5

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 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.
115 services100 patients
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.
83 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
68 services68 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services29 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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

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.

LORI R JACKSON MD
Family Medicine
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866
MRS. REBECCA GAMBLE HOUGLUM P.A.
Physician Assistant (Medical)
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866
GABRIELLA SHIRAZI DO
Family Medicine
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866
DANIELA CVETKOVA PA
Physician Assistant
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866

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 Jennifer Dimond's NPI number?

The NPI number for Jennifer Dimond is 1669932737. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Jennifer Dimond located?

Jennifer Dimond practices at 915 S Waukegan Rd, Lake Forest, IL 60045. The listed phone number is (847) 234-8866.

What is Jennifer Dimond's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jennifer Dimond enrolled in Medicare?

Yes. Jennifer Dimond is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Dimond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Dimond 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 Jennifer Dimond'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 Jennifer Dimond was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.