GREGORY PAUL JACKSON MD NPI 1649257163

NPI Information

  • NPI: 1649257163
  • Provider Name: GREGORY PAUL JACKSON, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1800 HOLLISTER DR
    SUITE G-18
    LIBERTYVILLE, IL
    ZIP 60048
  • Phone: (847) 968-5300

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NPI Details

Gregory Paul Jackson, MD is a specialist in Libertyville, IL with 37 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Gregory Paul Jackson, MD NPI is 1649257163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 HOLLISTER DR
SUITE G-18
LIBERTYVILLE, IL
ZIP 60048-263
Phone: (847) 968-5300
Fax: (847) 968-4311

The NPI 1649257163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Interpretation of trabecular bone score (tbs) and report on fracture risk (HCPCS:77092)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Nuclear medicine study of lymphatic system (HCPCS:78195)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Nuclear medicine study of lung ventilation and circulation (HCPCS:78582)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Nuclear medicine study, 1 area with spect (HCPCS:78803)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray for bone length assessment (HCPCS:77073)
  • Nuclear medicine study of parathyroid with spect and ct scan (HCPCS:78072)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of abdomen without contrast (HCPCS:74150)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)

The enumeration date for this NPI number is 12/27/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist35393WISCONSINNo
2174400000XSpecialist01059554AINDIANANo
3174400000XSpecialistILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K06614MEDICARE ID-TYPE UNSPECIFIEDILLINOISGRC LAKE COUNTY
2K06607MEDICARE ID-TYPE UNSPECIFIEDILLINOISGRC COOK COUNTY
3K07141MEDICARE ID-TYPE UNSPECIFIEDILLINOISGMI LAKE COUNTY
4G15009MEDICARE UPINILLINOIS
5K15723MEDICARE ID-TYPE UNSPECIFIEDILLINOISMIDWESTERN REGIONAL
6K21110MEDICARE ID-TYPE UNSPECIFIEDILLINOISAHRC
7K22464MEDICARE ID-TYPE UNSPECIFIEDILLINOISGMI COOK COUNTY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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