DR. JACK WILLIAM JENNINGS (MD) – Diagnostic Radiology Physician, NPI 1164552774
Diagnostic Radiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
Provider Addresses for DR. JACK WILLIAM JENNINGS (MD)
660 S EUCLID AVE
CB 8131
SAINT LOUIS, MO 631101010
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Mailing
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Mailing
510 S KINGSHIGHWAY BLVD
DEPT RADIOLOGY
SAINT LOUIS, MO 631101016
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $39,981.
Total Amount is formed as General ($39,981) + Research ($0) + Ownership ($0) = $39,981.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($11,731).
Total Amount
$39,981
General + Research + Ownership
Payments
55
Total payment records
General Amount
$39,981
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $11,731 |
| Boston Scientific Corporation | $10,212 |
| Stryker Corporation | $8,812 |
| SpringWorks Therapeutics, Inc. | $3,040 |
| Siemens Medical Solutions USA, Inc. | $2,926 |
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: 2007-08-07
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 |
|---|---|---|---|---|
| I20070807000101 | I | Diagnostic Radiology | MO | 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 |
|---|---|---|---|---|
| 73030 | X-ray of shoulder, minimum of 2 views | 198 | 182 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 140 | 123 | $0 |
| 73502 | X-ray of hip, 2-3 views | 131 | 129 | $0 |
| 73562 | X-ray of knee, 3 views | 122 | 109 | $0 |
| 73564 | X-ray of knee, 4 or more views | 107 | 87 | $0 |
Insurance plans in this area (ZIP 63110)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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