JORGE E FERNALD (MD) – Child & Adolescent Psychiatry Physician, NPI 1912056326
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Provider Addresses for JORGE E FERNALD (MD)
2104 E 23rd St
Sterling, IL 610811608
Phone: (815) 622-0938
Type: Location
100 Jefferson St
Oregon, IL 610611612
Phone: (815) 732-4759
Type: Location
1321 N 7th St
Rochelle, IL 610681185
Phone: (815) 562-3801
Type: Location
144 North Ct
Dixon, IL 610211224
Phone: (815) 285-5437
Fax: (815) 285-8928
Type: Location
322 Depot Ave
Dixon, IL 610212850
Phone: (815) 288-6057
Type: Location
555 Fairview Dr
Rochelle, IL 610682310
Phone: (815) 561-9003
Type: Location
325 Il Route 2
Dixon, IL 610219118
Phone: (815) 284-6611
Type: Location
1122 Healthcare Dr
Mount Carroll, IL 610531461
Phone: (815) 244-1376
Type: Location
922 Washington Ave
Dixon, IL 610211254
Phone: (815) 284-6611
Type: Location
1126 Healthcare Dr
Mount Carroll, IL 610531469
Phone: (815) 244-4200
Type: Location
2611 Woodlawn Rd
Sterling, IL 610814151
Phone: (815) 625-0013
Type: Location
7300, West College Drive, Palos Heights, Palos Township, Cook County, Illinois, 60463, United States
SUITE #101
PALOS HEIGHTS, IL 604631152
Phone: (708) 448-8470
Type: Mailing
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: 2010-12-09
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 |
|---|---|---|---|---|
| I20101209000544 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 83 | 22 | $0 |
Insurance plans in this area (ZIP 61081)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL |
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