DR. JESSICA NICOLE CHACKO MD
NPI 1790273852
Pediatrics in Lithia, FL

Q: What is Jessica Chacko's NPI number?

The NPI number for Jessica Chacko is 1790273852. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Q: What is Jessica Chacko'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 Jessica Chacko was last updated on August 21, 2024. 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 April 24, 2018PECOS Enrolled

12649 HORSESHOE BEND DR, LITHIA, FL 33547(775) 233-7196 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 21, 2024, Jul 26, 2024, Jul 9, 2024 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Jessica Nicole Chacko Md NPPES

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

DR. JESSICA NICOLE CHACKO MD (NPI 1790273852) is an individual pediatrics provider in Lithia, Florida, licensed in Florida (ME150652) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sun City Center.

NPPES Registry Identity

NPI1790273852

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JESSICA NICOLE CHACKOCredential: MD

Location Address12649 HORSESHOE BEND DRLithia, FL 33547-3311

Mailing Address12649 Horseshoe Bend DrLithia, FL 33547-3311 · (775) 233-7196 · Fax (813) 576-0892

Phone(775) 233-7196

Sole ProprietorNo

Enumeration DateApril 24, 2018

Last NPPES UpdateAugust 21, 20245 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1790273852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME150652

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.

12649 HORSESHOE BEND DR, Lithia, FL 33547

Open in Google Maps ↗

Secondary Practice Location 1

Location 1970 Cypress Village BlvdSun City Center, FL 33573-6830 · Phone (813) 359-1561

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Nicole Chacko Md 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 33547 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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 Jessica Chacko's NPI number?

The NPI number for Jessica Chacko is 1790273852. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Jessica Chacko located?

Jessica Chacko practices at 12649 Horseshoe Bend Dr, Lithia, FL 33547. The listed phone number is (775) 233-7196.

What is Jessica Chacko's specialty?

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

Is Jessica Chacko enrolled in Medicare?

Yes. Jessica Chacko is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Chacko accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Jessica Chacko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Chacko was last updated on August 21, 2024. 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.