1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Surgery
  6. NPI Profile

RONALD DALE JAECKS M.D.
NPI 1750406039
Surgery in Salem, OR

Active since March 19, 2007PECOS Enrolled
5125 SKYLINE RD S, SALEM, OR 97306(503) 361-5400(503) 566-4518 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ronald Dale Jaecks M.d. NPPES

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

RONALD DALE JAECKS M.D. (NPI 1750406039) is an individual surgery provider in Salem, Oregon, licensed in Oregon (MD20773) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750406039
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRONALD DALE JAECKSCredential: M.D.
Location Address5125 SKYLINE RD SSalem, OR 97306-9427
Mailing Address380 Jerris Ave SeSalem, OR 97302-5278 · (503) 315-2222 · Fax (503) 566-4518
Phone(503) 361-5400
Fax(503) 566-4518
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750406039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OR · MD20773
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5125 SKYLINE RD S, Salem, OR 97306
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINA51016

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald Dale Jaecks M.d. 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 Ronald Jaecks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Salem Rehabilitation, LLC
4.0 mi
Skilled Nursing Facility
3445 BOONE RD SE
Salem, OR 97317
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
NPI 1215071998 (503) 576-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97306 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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.

ANDREA S HATCHETTE MD
Urology
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (844) 549-0600
MR. JOEL HORST PA-C
Physician Assistant (Medical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 763-3639
KATHIE L YELLIOTT LCSW
Social Worker (Clinical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 588-5955
MS. LIANNE MARI DYCHE LCSW
Social Worker (Clinical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (800) 813-2000
HEATHER MELLEN JENSEN O.D.
Optometrist
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 361-5400
LINDSAY MICHAEL LAUX-PITTMAN MSW, LCSW
Social Worker (Clinical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (855) 632-8280
DR. MICHAEL ADAM MARLOWE M.D.
Pediatrics
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 361-5400
MAHNAZ AHMAD M.D.
Internal Medicine
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (800) 813-2000

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 Ronald Jaecks's NPI number?

The NPI number for Ronald Jaecks is 1750406039. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Ronald Jaecks located?

Ronald Jaecks practices at 5125 Skyline Rd S, Salem, OR 97306. The listed phone number is (503) 361-5400.

What is Ronald Jaecks's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ronald Jaecks enrolled in Medicare?

Yes. Ronald Jaecks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ronald Jaecks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Jaecks reassigns Medicare benefits to South Salem Rehabilitation, LLC (Salem, OR). 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 Ronald Jaecks'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 Ronald Jaecks 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.