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

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: October 25, 2026.

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

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
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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Ryaboy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
612 mi
Health Maintenance Organization
2391 GREENSPRING DRIVE
Timonium, MD 21093
  • Reassigned Medicare billing, Maryland enrollment
  • 1,253 clinicians in this Medicare group
NPI 1467114207 (301) 816-2424

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 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
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
MRS. SONIA VERGES M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
DR. JOHN J JOYCE M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
SUBURBAN PEDIATRICS, LTD.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
DR. LINDA KORACH LOPATA M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
NEIL D GRAHAM M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
MAHA SALMAN HAROON MD
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
MARIA ARIANAS MD
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-8127

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 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.

Where is Jacqueline Ryaboy located?

Jacqueline Ryaboy practices at 9000 Waukegan Rd Ste 240, Morton Grove, IL 60053. The listed phone number is (847) 296-1177.

What is Jacqueline Ryaboy's specialty?

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

Is Jacqueline Ryaboy enrolled in Medicare?

Yes. Jacqueline Ryaboy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Ryaboy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Ryaboy reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Timonium, MD). 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 Jacqueline Ryaboy'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 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 3 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.