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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAKE RYAN DEBOSSCHERE DO
NPI 1992407860
Family Medicine in Lakemoor, IL

Active since March 21, 2023PECOS Enrolled
27655 W IL ROUTE 120, LAKEMOOR, IL 60051(815) 458-1500(815) 458-1516 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2026, Jun 3, 2023, Mar 21, 2023 (3 updates tracked since 2023).

About Jake Ryan Debosschere Do NPPES

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

JAKE RYAN DEBOSSCHERE DO (NPI 1992407860) is an individual family medicine provider in Lakemoor, Illinois, licensed in Illinois (036-180264) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Berwyn.

NPPES Registry Identity

NPI1992407860
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAKE RYAN DEBOSSCHERECredential: DO
Location Address27655 W IL ROUTE 120Lakemoor, IL 60051-8003
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(815) 458-1500
Fax(815) 458-1516
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1992407860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-180264
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
27655 W IL ROUTE 120, Lakemoor, IL 60051
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Secondary Practice Location 1

Location 13249 Oak Park AveBerwyn, IL 60402-0715 · Phone (708) 783-9100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake Ryan Debosschere Do 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 60051 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 2

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

DR. YATRI DESAI DO
Family Medicine
27655 W IL ROUTE 120
LAKEMOOR, IL 60051
McHenry County (815) 458-1500
MICHAEL VELEZ PT
Physical Therapist
27655 W IL ROUTE 120
LAKEMOOR, IL 60051
McHenry County (630) 368-1776

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 Jake Debosschere's NPI number?

The NPI number for Jake Debosschere is 1992407860. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Jake Debosschere located?

Jake Debosschere practices at 27655 W Il Route 120, Lakemoor, IL 60051. The listed phone number is (815) 458-1500.

What is Jake Debosschere's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jake Debosschere enrolled in Medicare?

Yes. Jake Debosschere is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jake Debosschere was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.