DR. JERRY MARK OTOOLE PSYD
NPI 1790393650
Psychologist in Plainfield, IL
About Dr. Jerry Mark Otoole Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERRY MARK OTOOLE PSYD (NPI 1790393650) is an individual psychologist in Plainfield, Illinois, licensed in Illinois (071006413) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jerry Mark Otoole Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jerry Otoole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plainfield, IL 60544
- Reassigned Medicare billing, Illinois enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jerry Otoole's NPI number?
The NPI number for Jerry Otoole is 1790393650. It was assigned to this individual provider in the NPPES registry on July 16, 2020.
Where is Jerry Otoole located?
Jerry Otoole practices at 24402 W Lockport St Ste 215, Plainfield, IL 60544. The listed phone number is (630) 621-5824.
What is Jerry Otoole's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jerry Otoole enrolled in Medicare?
Yes. Jerry Otoole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jerry Otoole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Otoole reassigns Medicare benefits to Agor Behavioral Health Services, Inc. (Plainfield, IL). 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 Jerry Otoole'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 Jerry Otoole was last updated on August 29, 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.