JACQUELINE MARIE HEFFERNAN RYABOY M.D.
NPI 1750760484
Pediatrics in Morton Grove, IL

Q: What is Jacqueline Ryaboy's NPI number?

The NPI number for Jacqueline Ryaboy is 1750760484. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Jacqueline Ryaboy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Ryaboy was last updated on October 25, 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 May 27, 2015PECOS Enrolled

9000 WAUKEGAN RD STE 240, MORTON GROVE, IL 60053(847) 296-1177(847) 296-6437 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Jun 7, 2022 (2 updates tracked since 2022).

On this page

About Jacqueline Marie Heffernan Ryaboy M.d. NPPES

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

JACQUELINE MARIE HEFFERNAN RYABOY M.D. (NPI 1750760484) is an individual pediatrics provider in Morton Grove, Illinois, licensed in Illinois (036159064) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750760484

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJACQUELINE MARIE HEFFERNAN RYABOYCredential: M.D.

Location Address9000 WAUKEGAN RD STE 240Morton Grove, IL 60053-2128

Mailing Address9000 Waukegan Rd Ste 240Morton Grove, IL 60053-2128 · (847) 296-1177 · Fax (847) 296-6437

Phone(847) 296-1177

Fax(847) 296-6437

Sole ProprietorNo

Enumeration DateMay 27, 2015

Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1750760484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036159064

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9000 WAUKEGAN RD STE 240, Morton Grove, IL 60053

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Marie Heffernan Ryaboy 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60053 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA LYNN ARSENAULT MD

Pediatrics