Active NPI 1417016205 Individual Practitioner Female Practitioner

Dr. Jacqueline Deborah David , MD

Internal Medicine • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline David, MD is a registered healthcare professional specializing in Internal Medicine in Evanston, IL. Practice services are available at 909 DAVIS ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

909 Davis St
Suite 200

Evanston, IL 602013645

Telephone 8478663700

Fax 8478665436

Associated Practice Facility / Clinic

🏢 Sherman Dental Associates Of Evanston, Ltd Facility NPI 1942326350

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Evanston, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

180 Specialists

Practicing in Evanston, IL (7544 Statewide)

Telehealth Adoption Rate

14.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	110	$139.58	$85.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$254.00	$124.43
99213 Established patient office or other outpatient visit, typically 15 minutes	63	53	$75.00	$56.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	146	$124.18	$84.20
99213 Established patient office or other outpatient visit, typically 15 minutes	108	91	$59.08	$54.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	101	101	$254.00	$123.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	20	$32.00	$9.08
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$381.00	$182.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$181.41	$113.59
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$381.29	$133.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	119	$123.00	$83.30
99213 Established patient office or other outpatient visit, typically 15 minutes	140	106	$58.84	$54.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$252.86	$122.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$381.00	$180.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	15	$32.00	$8.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$393.29	$133.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$216.00	$56.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	132	$122.69	$83.46
99213 Established patient office or other outpatient visit, typically 15 minutes	154	111	$58.00	$54.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$251.36	$121.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	31	$32.00	$8.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$381.00	$179.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	13	$216.00	$56.70

Medical Specialties & State Licenses

CMS Verified: 2020-10-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-066565

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Dr. Afreen Papa , MD

Internal Medicine

NPI 1043771868

Doctor of Medicine (M.D.)

Nancy Holdsworth , CNP

Nurse Practitioner - Family

NPI 1326259789

Certified Nurse Practitioner

Dr. Wanda Cruz Knight , MD

Family Medicine

NPI 1336131184

Doctor of Medicine (M.D.)

Dr. Nadia Ali , DO

Family Medicine

NPI 1366063760

Doctor of Osteopathic Medicine (D.O.)

Dr. Elizabeth Swider , MD

Pediatrics

NPI 1366517898

Doctor of Medicine (M.D.)

Dr. Majd Sweiss , MD

Family Medicine

NPI 1437561909

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Internal Medicine (License #036-066565 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 909 DAVIS ST, SUITE 200, EVANSTON, IL 602013645 (Tel: 8478663700)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 602011718 (Tel: 8475701206)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JACQUELINE DAVID, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine

🟢

Initial NPI Registration & Enumeration December 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417016205

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 07, 2006

Last Update: October 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2650 Ridge Ave, Evanston Hospital

Evanston, IL 602011718

Phone: 8475701206

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.