JACK R CHAMBERLIN (M.D.) – Interventional Cardiology Physician, NPI 1215980321
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
464 INTERVENTIONAL CARDIOLOGY in IL
Provider Addresses for JACK R CHAMBERLIN (M.D.)
Frontage Road, Woodridge, DuPage County, Illinois, 60517, United States
SUITE 325
WOODRIDGE, IL 605174903
Phone: (847) 981-3680
Fax: (847) 956-5122
Type: Mailing
800 BIESTERFIELD RD STE G01
WIMMER BUILDING
ELK GROVE VILLAGE, IL 600073372
Phone: (847) 981-3680
Fax: (847) 956-5122
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $3,023.
Total Amount is formed as General ($3,023) + Research ($0) + Ownership ($0) = $3,023.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Medtronic, Inc. ($1,279).
Total Amount
$3,023
General + Research + Ownership
Payments
49
Total payment records
General Amount
$3,023
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,279 |
| Endologix LLC | $478 |
| LimFlow Inc. | $427 |
| Bard Peripheral Vascular, Inc. | $131 |
| Abbott Laboratories | $120 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050408000764 | I | Interventional Cardiology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 862 | 633 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 387 | 147 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 176 | 138 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 146 | 121 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 146 | 143 | $0 |
Insurance plans in this area (ZIP 60517)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | IL | 85610 | Blood test, clotting time | 257 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine | IL |
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