TIPHANY JACKSON MD
NPI 1881049666
Obstetrics & Gynecology in Chicago, IL

Q: What is Tiphany Jackson's NPI number?

The NPI number for Tiphany Jackson is 1881049666. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Q: What is Tiphany Jackson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiphany Jackson was last updated on January 31, 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.

Active since April 28, 2016PECOS Enrolled

94.1/100

CMS Quality Rating

680 N LAKE SHORE DR STE 810, CHICAGO, IL 60611(312) 926-8811(312) 926-8855 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 31, 2023, Aug 11, 2021, Sep 4, 2020 (3 updates tracked since 2020).

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About Tiphany Jackson Md NPPES

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

TIPHANY JACKSON MD (NPI 1881049666) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036.152149) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881049666

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTIPHANY JACKSONCredential: MD

Location Address680 N LAKE SHORE DR STE 810Chicago, IL 60611-8700

Mailing Address836 W Wellington AveChicago, IL 60657-5147 · (773) 975-1600

Phone(312) 926-8811

Fax(312) 926-8855

Sole ProprietorNo

Enumeration DateApril 28, 2016

Last NPPES UpdateJanuary 31, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1881049666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036.152149

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 036.152149 (IL)

680 N LAKE SHORE DR STE 810, Chicago, IL 60611

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Secondary Practice Locations 2

Location 14532 S Oakenwald AveChicago, IL 60653-4514 · Phone (213) 219-0005

Location 21701 W Superior StChicago, IL 60622-5646 · Phone (312) 666-3494

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiphany Jackson 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.

Medicare Billing Reassignment

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

Erie Family Health Center, Inc

2.8 mi

Federally Qualified Health Center (FQHC)

1701 W SUPERIOR ST
Chicago, IL 60622

Reassigned Medicare billing, Illinois enrollment
383 clinicians in this Medicare group

NPI 1760499545 (312) 432-7394

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 60611 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

ELIZABETH ISAK

Obstetrics & Gynecology