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KIMBERLY JEZEK-TISCH
NPI 1720090269
Obstetrics & Gynecology in Chicago, IL

Active since August 13, 2006PECOS Enrolled
87.08/100
CMS Quality Rating
1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Jezek-tisch NPPES

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

KIMBERLY JEZEK-TISCH (NPI 1720090269) is an individual obstetrics & gynecology provider in Chicago, Illinois and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720090269
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY JEZEK-TISCH
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address809 S Marshfield Ave, 9th Floor (m/c 732)Chicago, IL 60612-4305 · (312) 996-7699 · Fax (312) 996-1001
Phone(866) 600-2273
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720090269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1740 W TAYLOR ST, Chicago, IL 60612
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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 (PECOS)

Kimberly Jezek-tisch 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Kimberly Jezek-tisch's NPI number?

The NPI number for Kimberly Jezek-tisch is 1720090269. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Kimberly Jezek-tisch located?

Kimberly Jezek-tisch practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (866) 600-2273.

What is Kimberly Jezek-tisch's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Jezek-tisch enrolled in Medicare?

Yes. Kimberly Jezek-tisch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Jezek-tisch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.