JACKSON BLOUGH
NPI 1760311542
Orthopaedic Surgery in Springfield, IL

Active since May 18, 2026PECOS Enrolled
747 N RUTLEDGE ST FL 3, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Blough NPPES

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

JACKSON BLOUGH (NPI 1760311542) is an individual orthopaedic surgery provider in Springfield, Illinois, licensed in Illinois (125.087578) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760311542
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJACKSON BLOUGH
Location Address747 N RUTLEDGE ST FL 3Springfield, IL 62702-6700
Mailing AddressPo Box 19638Springfield, IL 62794-9638
Sole ProprietorNo
Enumeration DateMay 18, 2026
NPPES CertifiedMay 17, 2026
NPI 1760311542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 125.087578
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
747 N RUTLEDGE ST FL 3, Springfield, IL 62702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jackson Blough 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 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 13

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

Orthopaedic Surgery
747 N RUTLEDGE ST FL 3
SPRINGFIELD, IL 62702
Orthopaedic Surgery
747 N RUTLEDGE ST FL 3
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
747 N RUTLEDGE ST FL 3
SPRINGFIELD, IL 62702
Orthopaedic Surgery
747 N RUTLEDGE ST FL 3
SPRINGFIELD, IL 62702
Plastic Surgery (Surgery of the Hand)
747 N RUTLEDGE ST FL 3
SPRINGFIELD, IL 62702
Orthopaedic Surgery
747 N RUTLEDGE ST FL 3
SPRINGFIELD, IL 62702
Occupational Therapist (Hand)
747 N RUTLEDGE ST FL 3
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
747 N RUTLEDGE ST FL 3
SPRINGFIELD, IL 62702

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 Jackson Blough's NPI number?

The NPI number for Jackson Blough is 1760311542. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Jackson Blough located?

Jackson Blough practices at 747 N Rutledge St Fl 3, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Jackson Blough's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jackson Blough enrolled in Medicare?

Yes. Jackson Blough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Blough was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.