Jacqueline Blank, MD
NPI 1760800312ActiveIndividual· Surgery, Trauma Surgery· Milwaukee, WI
Surgery, Trauma Surgery (MD) in Milwaukee, Wisconsin, trained at Loyola University of Chicago, Stritch School of Medicine (class of 2014). Mostly services rather than prescriptions: Medicare paid $26,025 for 113 patients in 2024, with only 12 Part D claims.
Overview
| NPI | 1760800312 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 1, 2014 |
| Last updated in NPPES | Aug 3, 2023 |
| Certified by provider | Aug 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | 64645 | WI |
| Surgery | 208600000X | 64645 | WI |
| Surgery, Surgical Critical Care | 2086S0102X | 64645 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (PA); Practitioner - General Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 195 across 57 procedure codes |
| Paid by Medicare | $26,025 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Total drug cost | $255.27 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | Loyola University of Chicago, Stritch School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | General Surgery |
Medical group
- The Medical College of Wisconsin IncMilwaukee, WI · 2,115 clinicians
Hospital affiliation
- Froedtert Memorial Lutheran HospitalMilwaukee, WI
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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