DR. MARK D JACKSON (MD) – Cardiovascular Disease Physician, NPI 1952331019

DR. MARK D JACKSON (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 036082717 (IL). The NPI Number for DR. MARK D JACKSON (MD) is 1952331019

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK D JACKSON (MD)
NPI
1952331019
Phone
(309) 691-4410
Address
5405 N KNOXVILLE AVE
Enumeration Date
4 July 2006
Last Update Date
31 August 2010

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3093467776
Graduation Year
1985 (41 years ago)
PAC ID
1355253717
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20050224000329
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK D JACKSON (MD)

  • OSF HealthCare Cardiovascular Institute, 5405, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 61614

    Phone: (309) 691-4410

    Fax: (309) 589-2830

    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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61614)

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Provider's Procedures

DR. MARK D JACKSON (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93926Ultrasound study of arteries and arterial grafts of one leg or limited4140
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1818

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: 3678889789View full group profile

Reviews

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Frequently asked questions

What is DR. MARK D JACKSON (MD)'s NPI number?
DR. MARK D JACKSON (MD)'s NPI is 1952331019 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MARK D JACKSON (MD)?
For scheduling context, DR. MARK D JACKSON (MD) is shown as active in the registry.
What kind of doctor is DR. MARK D JACKSON (MD)?
DR. MARK D JACKSON (MD) is associated with Cardiovascular Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MARK D JACKSON (MD) associated with Peoria?
Public fields place DR. MARK D JACKSON (MD) around Peoria, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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