JACK GOERGEN
NPI 1730635673
Hospitalist in Chicago, IL

Q: What is Jack Goergen's NPI number?

The NPI number for Jack Goergen is 1730635673. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Q: What is Jack Goergen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Goergen was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 31, 2016PECOS Enrolled

94.1/100

CMS Quality Rating

251 E HURON ST STE 16-738, CHICAGO, IL 60611(312) 926-5924(312) 926-6134 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2020, Aug 31, 2016 (2 updates tracked since 2016).

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About Jack Goergen NPPES

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

JACK GOERGEN (NPI 1730635673) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036164359) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1730635673

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameJACK GOERGEN

Location Address251 E HURON ST STE 16-738Chicago, IL 60611-3055

Mailing Address251 E Huron St Ste 16-738Chicago, IL 60611-3055 · (312) 926-5924 · Fax (312) 926-6134

Phone(312) 926-5924

Fax(312) 926-6134

Sole ProprietorNo

Enumeration DateAugust 31, 2016

Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2023

✔ NPI 1730635673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036164359

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125076512 (IL)

251 E HURON ST STE 16-738, Chicago, IL 60611

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Secondary Practice Location 1

Location 1240 E Huron St, Suite 1-200 Chicago IL 60611 312-5Chicago, IL 60611-2909 · Phone (312) 503-7975

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Goergen 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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$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.

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

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.

AISHA T AMUDA

Hospitalist