DR. JUAN C. JIMENEZ (MD) – Neurological Surgery Physician, NPI 1801992516

DR. JUAN C. JIMENEZ (MD) is a healthcare provider. based in Kankakee, Illinois. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 036103254 (IL). The NPI Number for DR. JUAN C. JIMENEZ (MD) is 1801992516

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN C. JIMENEZ (MD)
NPI
1801992516
Phone
(815) 932-7200
Address
400 N WALL ST
Enumeration Date
16 September 2006
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156340100
Graduation Year
1996 (30 years ago)
PAC ID
2365466000
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20060120000164
Address ID
IL604167111CO5775X113X500

Contacts

Secure Messaging
jjimenez8334@Direct.riversidehealthcare.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

328 NEUROSURGERY in IL

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Provider Addresses for DR. JUAN C. JIMENEZ (MD)

  • North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States

    SUITE 402

    KANKAKEE, IL 609012940

    Phone: (815) 932-7200

    Fax: (815) 935-7874

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $10,173.

Total Amount is formed as General ($10,173) + Research ($0) + Ownership ($0) = $10,173.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($6,297).

Total Amount

$10,173

General + Research + Ownership

Payments

69

Total payment records

General Amount

$10,173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2006-01-20

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
I20060120000164INeurosurgeryILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10288$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion5957$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
22552Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc3721$0
99215Established patient office or other outpatient visit, 40-54 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 60901)

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Provider's Procedures

DR. JUAN C. JIMENEZ (MD) performs procedures in NEUROSURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYIL63048Partial removal of spine bone with release of spinal cord and/or nerves2819

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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

Is there an official ID for DR. JUAN C. JIMENEZ (MD) in U.S. healthcare records?
The official identifier for DR. JUAN C. JIMENEZ (MD) is NPI 1801992516.
Would DR. JUAN C. JIMENEZ (MD) appear as active to a payer?
You can treat DR. JUAN C. JIMENEZ (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JUAN C. JIMENEZ (MD)?
DR. JUAN C. JIMENEZ (MD)'s record emphasizes Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. JUAN C. JIMENEZ (MD) registered?
Use Kankakee, Illinois as the headline location for DR. JUAN C. JIMENEZ (MD) here.
Can I trust this NPI listing for DR. JUAN C. JIMENEZ (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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