GREGORY PAUL JACKSON (MD) – Specialist, NPI 1649257163

GREGORY PAUL JACKSON (MD) is a healthcare provider. based in Libertyville, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036088433 (IL). The NPI Number for GREGORY PAUL JACKSON (MD) is 1649257163

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY PAUL JACKSON (MD)
NPI
1649257163
Phone
(847) 968-5300
Address
1800 HOLLISTER DR
Enumeration Date
27 December 2005
Last Update Date
25 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7736870999
Graduation Year
1989 (37 years ago)
PAC ID
0941286363
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20040626000293
Address ID
IL606573014CH3122XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,123 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for GREGORY PAUL JACKSON (MD)

  • 1800, Hollister Drive, Libertyville, Lake, Illinois, 60048, United States

    SUITE G-18

    LIBERTYVILLE, IL 600485263

    Phone: (847) 968-5300

    Fax: (847) 968-4311

    Type: Location

  • 2650 RIDGE AVE # 1223

    EVANSTON, IL 602011700

    Phone: (847) 982-3175

    Fax: (847) 982-3394

    Type: Mailing

  • 2650 RIDGE AVE

    EVANSTON, IL 602011700

    Phone: (847) 570-2475

    Fax: (847) 570-2942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-06-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040626000293IDiagnostic RadiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77080Dxa bone density measurement of hip, pelvis, spine1,4891,489$0
77092Interpretation of trabecular bone score (tbs) and report on fracture risk1,2981,298$0
74177Ct scan of abdomen and pelvis with contrast453442$0
71250Ct scan of chest without contrast418414$0
71260Ct scan of chest with contrast283271$0
View full utilization report →

Insurance plans in this area (ZIP 60048)

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Provider's Procedures

GREGORY PAUL JACKSON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front246230
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views2221
DIAGNOSTIC RADIOLOGYIL73140X-ray of fingers, minimum of 2 views1313
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views4739
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views5651
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast399396

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

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Frequently asked questions

Does GREGORY PAUL JACKSON (MD) have a public NPI I can cite?
Public records show GREGORY PAUL JACKSON (MD) under NPI 1649257163.
Is GREGORY PAUL JACKSON (MD)'s NPI status active today?
Active status means GREGORY PAUL JACKSON (MD)'s NPI record is not deactivated in the public file.
What type of care does GREGORY PAUL JACKSON (MD) provide?
GREGORY PAUL JACKSON (MD)'s profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
Which community is linked to GREGORY PAUL JACKSON (MD)?
GREGORY PAUL JACKSON (MD) shows a connection to Libertyville, Illinois in registry-derived data.
Who maintains GREGORY PAUL JACKSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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