Active NPI
Jeremiah Albert Pflederer, M.D.
- Orthopaedic Surgery Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036163782
- Practice address
- 5875 E Riverside Blvd
Rockford, IL 61114-4937 - Phone
- (801) 587-5448
- NPI assigned
- Apr 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 82062-20 | WI | |
| Orthopaedic Surgery Physician | 207X00000X | 036163782 | IL | Primary |
Addresses
Primary practice location
5875 E Riverside Blvd
Rockford, IL 61114-4937
Mailing address
PO Box 735263
Chicago, IL 60673-5263
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JPFLEDERER580328@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 W Harrison St
Suite 400
Chicago, IL 60612-4861
Phone (312) 432-2300
5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone (815) 398-9491
Hospital & facility affiliations
- Osf Healthcare Home Care
- Saint Anthony Medical Center
- Uw Health
- CGH Medical Center
- Osf Saint Elizabeth MDL Ctr
- FHN Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.02 of 100
- Quality
- 68.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 75 |
| Knee replacement | 75 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036163782 | IL | MD | Orthopaedic Surgery Physician |
| 82062-20 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthomidwest, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Midwest Orthopaedics at Rush, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush LLC | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717
5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270
2102 Freeman Pkwy
Beloit, WI 53511
Phone (779) 221-3000
8400 Lakeview Pkwy
Ste 800
Pleasant Prairie, WI 53158
Phone (262) 455-7548
Interoperability endpoints
- jpflederer580328@direct.med.utah.edu
- jeremiah.pflederer@ro.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
-
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
- NPI 1134871908
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- Durable Medical Equipment & Medical Supplies
- McHenry, IL
- NPI 1346866373
Orthopaedic Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Home Health Agency
- Loves Park, IL
- NPI 1023051992
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1124551932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735263",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611144937",
"telephone_number": "801-587-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFLEDERER",
"first_name": "JEREMIAH",
"middle_name": "ALBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "82062-20",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036163782",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JPFLEDERER580328@DIRECT.MED.UTAH.EDU",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.