DR. JACK I JALLO (MD) – Neurological Surgery Physician, NPI 1720076706

DR. JACK I JALLO (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. C1-0013235 (DE). The NPI Number for DR. JACK I JALLO (MD) is 1720076706

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK I JALLO (MD)
NPI
1720076706
Phone
(215) 503-3321
Address
3 Crescent Dr Fl 3
Enumeration Date
12 October 2005
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
4284530296
Group Practice PAC ID
9931325131
Professional Enrollment ID
I20100119000065
Address ID
NJ080434419VO443XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

464 NEUROSURGERY in PA

Provider Addresses for DR. JACK I JALLO (MD)

  • 3 Crescent Dr Fl 3

    Philadelphia, PA 191121016

    Phone: (215) 503-3321

    Fax: (215) 503-7163

    Type: Location

  • 445 Hurffville Crosskeys Rd Ste B16

    Sewell, NJ 080802351

    Phone: (856) 256-7591

    Fax: (856) 256-7595

    Type: Location

  • 909, Walnut Street, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    2ND FLOOR

    PHILADELPHIA, PA 191075211

    Phone: (215) 955-7000

    Fax: (215) 503-9170

    Type: Location

  • 909 WALNUT ST FL 2

    PHILADELPHIA, PA 191075211

    Phone:

    Type: Mailing

  • 443 Laurel Oak Rd Ste 130

    Voorhees, NJ 080434419

    Phone: (856) 741-0122

    Fax: (856) 741-0121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,167.

Total Amount is formed as General ($1,167) + Research ($0) + Ownership ($0) = $1,167.

Last reported payment date: 2024-07-26 • Largest payer in this snapshot: Stryker Corporation ($981).

Total Amount

$1,167

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20031210000673INeurosurgeryPATBD
I20100119000065INeurosurgeryNJTBD

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 minutes376241$0
99204New patient office or other outpatient visit, 45-59 minutes192192$0
22614Fusion of additional segment of spine11743$0
22842Placement of stabilizing device to back, 3-6 spine bone segments4444$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion4129$0
View full utilization report →

Insurance plans in this area (ZIP 19112)

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Provider's Procedures

DR. JACK I JALLO (MD) performs procedures in NEUROSURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYPA22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments1919
NEUROSURGERYPA63048Partial removal of spine bone with release of spinal cord and/or nerves3013

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: 9931325131View full group profile
NameSpecialtyState
N E U R O L O G YPA
Diagnostic RadiologyNY
O T O L A R Y N G O L O G YNJ
N E U R O L O G YPA
Diagnostic RadiologyPA
-VA
Diagnostic RadiologyPA
N E U R O L O G YPA
Diagnostic RadiologyPA
Diagnostic RadiologyNJ

Reviews

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Frequently asked questions

How do I look up DR. JACK I JALLO (MD) by NPI?
Use NPI 1720076706 when you need to reference DR. JACK I JALLO (MD) in forms, claims, or directories.
Does this profile mean DR. JACK I JALLO (MD) is currently active?
Yes — DR. JACK I JALLO (MD) appears active in the national provider directory.
What does DR. JACK I JALLO (MD) treat or focus on?
Patients typically see DR. JACK I JALLO (MD) under the specialty Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JACK I JALLO (MD)?
The snapshot lists Philadelphia, Pennsylvania for DR. JACK I JALLO (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.