Doctor profile · Federal record
Dr. Jacob Ecanow, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Evanston, IL
- NPI 1104866805
- Accepts Medicare
- MIPS 90.4 / 100 · 2023
- 34 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2650 Ridge Ave., Department of Radiology
Evanston, IL 602011718
(847) 570-2475
fax (847) 570-2942
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- December 4, 2018
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Illinois #036095636
- Medicaid
- IL #036095636
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104866805. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,483
Distinct HCPCS
10
Medicare allowed
$135,255
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
77063 |
Screening 3d breast mammography | 1,120 | 1,120 | $31 | |
77067 |
Screening mammography | 1,120 | 1,120 | $38 | |
71045 |
X-ray of chest, 1 view | 363 | 340 | $9 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 270 | 260 | $31 | |
77065 |
Diagnostic mammography of 1 breast | 165 | 155 | $40 | |
71046 |
X-ray of chest, 2 views | 161 | 161 | $11 | |
76642 |
Limited ultrasound scan of 1 breast | 143 | 142 | $36 | |
77063 |
Screening 3d breast mammography | 143 | 143 | $31 | |
77067 |
Screening mammography | 143 | 143 | $38 | |
77066 |
Diagnostic mammography of both breasts | 125 | 124 | $49 |
In context: peer comparison
Among 28 peers in Evanston Diagnostic Radiology Physician, average services per provider: 112. This provider delivers 40× the peer median.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 1 | $21.77 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jacob Ecanow's medical specialty?
Dr. Jacob Ecanow practices Diagnostic Radiology Physician in Evanston, IL.
Where does Dr. Jacob Ecanow practice?
Dr. Jacob Ecanow practices at 2650 Ridge Ave., Evanston, IL 602011718. Office phone: 8475702475.
What is Dr. Jacob Ecanow's NPI?
Dr. Jacob Ecanow's National Provider Identifier (NPI) is 1104866805, issued by NPPES.
Does Dr. Jacob Ecanow accept Medicare assignment?
Yes. Dr. Jacob Ecanow accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Ecanow commonly perform?
Top Medicare-reported procedures in 2023: Screening 3d breast mammography (HCPCS 77063); Screening mammography (HCPCS 77067); X-ray of chest, 1 view (HCPCS 71045). Source: CMS Medicare Physician & Other Practitioners file.