Jennifer Baccon, MD
NPI 1154477081ActiveIndividual· Pathology, Anatomic Pathology· Evanston, IL
Pathology, Anatomic Pathology (MD) in Evanston, Illinois, licensed in IL and OH, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - pathology and practitioner - pathology.
Overview
| NPI | 1154477081 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 25, 2007 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology Primary | 207ZP0101X | 036181324 | IL |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 35.130570 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (IL); Practitioner - Pathology (OH) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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