GREGORY PAUL JACKSON (MD) – Specialist, NPI 1649257163
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040626000293 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 1,489 | 1,489 | $0 |
| 77092 | Interpretation of trabecular bone score (tbs) and report on fracture risk | 1,298 | 1,298 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 453 | 442 | $0 |
| 71250 | Ct scan of chest without contrast | 418 | 414 | $0 |
| 71260 | Ct scan of chest with contrast | 283 | 271 | $0 |
Insurance plans in this area (ZIP 60048)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71010 | X-ray of chest, 1 view, front | 246 | 230 |
| DIAGNOSTIC RADIOLOGY | IL | 73110 | X-ray of wrist, minimum of 3 views | 22 | 21 |
| DIAGNOSTIC RADIOLOGY | IL | 73140 | X-ray of fingers, minimum of 2 views | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | IL | 73562 | X-ray of knee, 3 views | 47 | 39 |
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 56 | 51 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 399 | 396 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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