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 with the weekly NPPES data releases published by CMS.

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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, is affiliated with Northwestern Memorial Hospital, 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

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiphany Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133413214

PECOS Enrollment IDI20220611000186

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

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.

REBEKAH OSGOOD M.D.

Obstetrics & Gynecology