DR. JACK I JALLO MD
NPI 1720076706
Neurological Surgery in Philadelphia, PA

Q: What is Jack Jallo's NPI number?

The NPI number for Jack Jallo is 1720076706. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Jack Jallo's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Jallo was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment

909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107(215) 955-7000(215) 503-9170 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Nov 20, 2018 (2 updates tracked since 2018).

On this page

About Dr. Jack I Jallo Md NPPES

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

DR. JACK I JALLO MD (NPI 1720076706) is an individual neurological surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD048313L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720076706

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. JACK I JALLOCredential: MD

Location Address909 WALNUT ST, 2ND FLOORPhiladelphia, PA 19107-5211

Mailing Address909 Walnut St Fl 2Philadelphia, PA 19107-5211

Phone(215) 955-7000

Fax(215) 503-9170

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1990

Enumeration DateOctober 12, 2005

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1720076706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in PA · MD048313L✔ Licensed in DE · C1-0013235✔ Licensed in NJ · 25MA06897900

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

909 WALNUT ST, Philadelphia, PA 19107

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Secondary Practice Locations 3

Location 13 Crescent Dr Fl 3Philadelphia, PA 19112-1016 · Phone (215) 503-3321 · Fax (215) 503-7163

Location 2445 Hurffville Crosskeys Rd Ste B16Sewell, NJ 08080-2351 · Phone (856) 256-7591 · Fax (856) 256-7595

Location 3443 Laurel Oak Rd Ste 130Voorhees, NJ 08043-4419 · Phone (856) 741-0122 · Fax (856) 741-0121

Other Identifiers 2

Medicaid001634580PA

Medicaid7226608NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

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

Dr. Jack I Jallo 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.

PECOS PAC ID4284530296

PECOS Enrollment IDI20031210000673, I20100119000065, I20260317003110

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 17

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.

342 services217 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

184 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

157 services157 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

58 services34 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

44 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

44 services40 patients

Fusion of spine in neck by posterior approach 22600

Fusion of the spine in the neck by a posterior approach is a surgery to stabilize the neck. It involves connecting two or more vertebrae in the neck from the back side. This can reduce pain and improve stability by limiting movement of the neck.

36 services35 patients

Partial removal of spine bone with exploration and/or release of upper spinal cord or nerves, more than 2 segments 63015

This procedure involves the partial removal of bone from the spine to alleviate pressure on the upper spinal cord or nerves. It covers more than two spinal segments. The aim is to improve nerve function and reduce pain or discomfort.

27 services27 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

21 services21 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

19 services19 patients

Release of lower spinal cord and/or nerves, single segment 63056

This procedure involves freeing the lower spinal cord or nerves from any compression in a single segment. It can alleviate pain or discomfort, improve mobility, and enhance overall quality of life. This is performed by a skilled surgeon under anesthesia.

19 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

19 services19 patients

Placement of stabilizing device to back, 7-12 spine bone segments 22843

This procedure involves positioning a stabilizing device along your spine's 7th to 12th segments. It's done to support your back and enhance stability, reducing pain and improving mobility. It's a safe, commonly performed surgical procedure.

14 services14 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

14 services14 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

14 services14 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

13 services13 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310086

Location18 East Laurel RoadStratford, NJ 08084 · Camden County

Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

2 suppliers41 claims41 services$3,759.72 avg. paid by Medicare

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf L0174

DME-Orthotic Devices · category DF000N

2 suppliers27 claims27 services$207.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERICA GOULSTON CRNP

Nurse Practitioner (Acute Care)

909 WALNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-7000

MIJAIL D. SERRUYA MD

Psychiatry & Neurology (Neurology)

909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1234

DR. TIMOTHY MICHAEL AMBROSE M.D.

Psychiatry & Neurology (Neurology)

909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1234

LAUREN MALINOWSKI-FALK

Nurse Practitioner (Acute Care)

909 WALNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 503-7008

DR. JAY LANCE D GUEVARRA DDS

Student in an Organized Health Care Education/Training Program

909 WALNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6215

THOMAS JEFFERSON UNIVERSITY HOSPITAL

Clinic/Center (Dental)

909 WALNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6215

CHRISTIAN HOELSCHER

Neurological Surgery

909 WALNUT ST, 3RD FLOOR, NEUROSURGERY
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-7000

DR. BABAR BASHIR M.D.

Internal Medicine (Medical Oncology)

909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-7000

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 Jallo's NPI number?

The NPI number for Jack Jallo is 1720076706. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Jack Jallo located?

Jack Jallo practices at 909 Walnut St 2nd Floor, Philadelphia, PA 19107. The listed phone number is (215) 955-7000.

What is Jack Jallo's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Jack Jallo enrolled in Medicare?

Yes. Jack Jallo 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.

What insurance does Jack Jallo accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Jack Jallo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Jallo affiliated with any hospitals?

According to CMS data, Jack Jallo is affiliated with Jefferson Stratford Hospital and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Jack Jallo was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.