DR. NICHOLAS MAX HARDING-JACKSON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1396011755
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
767 PATHOLOGY in IL
Provider Addresses for DR. NICHOLAS MAX HARDING-JACKSON (MD)
111 pleasant ave
highwood, IL 600401814
Phone: (312) 399-7671
Type: Location
2374 E PACIFICA PL
RANCHO DOMINGUEZ, CA 902206214
Phone: (310) 225-3244
Fax: (310) 698-7040
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($98).
Total Amount
$98
General + Research + Ownership
Payments
1
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $98 |
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: 2021-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170710000052 | I | Pathology | CA | TBD |
| I20211025002571 | I | Pathology | HI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,680 | 870 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 450 | 90 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 182 | 149 | $0 |
| 88374 | Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure | 161 | 35 | $0 |
| 88361 | Microscopic genetic analysis of tumor, using computer-assisted technology | 152 | 34 | $0 |
Insurance plans in this area (ZIP 60040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MA |
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