DR. JEFFREY ALAN JACKSON O.D.
NPI 1003014051
Optometrist in Casa Grande, AZ


Quality Rating: 100 out of 100 score

NPI Status: Active since July 10, 2007

Contact Information

560 N CAMINO MERCADO STE 1
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 426-9224
Fax: (520) 426-1554

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  • Individual
  • Male
  • Years of Experience 17
  • Optometrist
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JEFFREY JACKSON

Jeffrey Jackson is a provider established in Casa Grande, Arizona and his medical specialization is Optometrist with more than 17 years of experience. He graduated from Southern California College Of Optometry in 2007. The healthcare provider is registered in the NPI registry with number 1003014051 assigned on July 2007. The practitioner's primary taxonomy code is 152W00000X with license number OPT-001578 (AZ). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1003014051
Provider Name
DR. JEFFREY ALAN JACKSON O.D.
Gender
Male
Entity Type
Individual
Location Address
560 N CAMINO MERCADO STE 1 CASA GRANDE, AZ 85122
Location Phone
(520) 426-9224
Location Fax
(520) 426-1554
Mailing Address
4800 N 22ND ST STE 210 PHOENIX, AZ 85016
Mailing Phone
(480) 892-8400
Mailing Fax
(520) 426-1554
Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year
2007
Is Sole Proprietor?
Yes
Enumeration Date
07-10-2007
Last Update Date
11-17-2021
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Jeffrey Jackson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.05 for a new patient copayment and $17.96 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
OPT-001578
License State
AZ
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

1578 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arizona Complete Health

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from Sunshine Health

    • Complete SELECT Gold with Select Providers - HMO
    • Elite SELECT Bronze with Select Providers - HMO
    • Focused SELECT Silver with Select Providers - HMO
    • Standard Expanded Bronze SELECT - HMO
    • Standard Gold SELECT - HMO
  • Ambetter of Tennessee

    • Standard Expanded Bronze SELECT - EPO
    • Standard Gold SELECT - EPO
    • Standard Silver SELECT - EPO
  • BannerAetna

    • BannerAetna Bronze 2 HSA: No PCP required + MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 3: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
  • Blue Cross and Blue Shield of Illinois

    • Blue Choice Preferred Bronze PPO℠ 201 - PPO
    • Blue Choice Preferred Bronze PPO℠ 202 - PPO
    • Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 708 - PPO
  • Blue Cross and Blue Shield of Louisiana

    • Blue Max 100/100 $9450 - PPO
    • Blue Max 70/50 $6700 - PPO
    • Blue Max 90/70 $1500 - PPO
    • Blue Max Copay 50/50 $3300 - PPO
    • Blue Max Copay 50/50 $7500 Standardized Plan - PPO
  • Blue Cross and Blue Shield of Montana

    • Blue Focus Bronze POS℠ 205 - POS
    • Blue Focus Bronze POS℠ 705 - POS
    • Blue Focus Bronze POS℠ 708 - POS
    • Blue Focus Gold POS℠ 207 - POS
    • Blue Focus Gold POS℠ 707 - POS
  • Blue Cross and Blue Shield of Oklahoma

    • Blue Advantage Bronze PPO℠ 801 - PPO
    • Blue Advantage Bronze PPO℠ 202 - PPO
    • Blue Advantage Bronze PPO℠ 203 - PPO
    • Blue Advantage Gold PPO℠ 309 - PPO
    • Blue Advantage Gold PPO℠ 604 - PPO
  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
  • Blue Cross Blue Shield of Arizona

    • Blue ACA StandardHealth Silver with Health Choice - HMO
    • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
    • Blue AdvanceHealth Gold - Neighborhood Network - HMO
    • Blue AdvanceHealth Silver - Neighborhood Network - HMO
    • Blue EverydayHealth Bronze - Neighborhood Network - HMO
  • Blue Cross Blue Shield of Wyoming

    • BlueSelect Bronze Balance - PPO
    • BlueSelect Bronze Basic - PPO
    • BlueSelect Bronze Core - PPO
    • BlueSelect Bronze Value - PPO
    • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07E HSA $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07E HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07L HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
  • Cigna HealthCare of Arizona, Inc

    • Connect Bronze 0 Indiv Med Deductible - HMO
    • Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 6500 Indiv Med Deductible - HMO
    • Connect Bronze 8900 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
  • Imperial Insurance Companies, Inc.

    • Imperial Preferred Gold - HMO
    • Imperial Preferred Silver - HMO
    • Imperial Standard Bronze - HMO
    • Imperial Standard Gold - HMO
    • Imperial Standard Silver - HMO
  • Oscar Health Plan, Inc.

    • Bronze Classic - HMO
    • Bronze Classic 4700 - HMO
    • Bronze Classic PCP Saver - HMO
    • Bronze Classic Standard - HMO
    • Bronze Elite + PCP Saver Plus - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
    • UHC Bronze Essential - HMO
    • UHC Bronze Standard - HMO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
    • UHC Bronze Value HSA - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
161292MEDICAID (05)AZ 

PECOS Enrollment and Medicare Participation Status

Jeffrey Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3274627922

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070926000085

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85122 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $132.23
  • Minimum New Patient Price $57.31
  • Maximum New Patient Price $174.67
  • Average New Patient Copayment $33.05
  • Minimum New Patient Copayment $14.32
  • Maximum New Patient Copayment $43.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.86
  • Minimum Established Patient Price $17.74
  • Maximum Established Patient Price $142.64
  • Average Established Patient Copayment $17.96
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $35.66

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 681

    Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

  • 150

    Diagnostic imaging of optic nerve of eye (HCPCS:92133)

  • 133

    Photography of the retina (HCPCS:92250)

  • 101

    Diagnostic imaging of retina (HCPCS:92134)

  • 99

    Measurement of field of vision during daylight conditions (HCPCS:92083)

  • 93

    Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)

Reviews for DR. JEFFREY ALAN JACKSON O.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003014051
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003018010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 8 + 0 + 1 + 0 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1003014051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275798118 MICHAEL ROLLINS O.D.
Individual
Optometrist560 N CAMINO MERCADO STE 1
CASA GRANDE, AZ 85122
(520) 426-9224
1972575140 AARON M PETERSEN MD
Individual
Ophthalmology560 N CAMINO MERCADO STE 1
CASA GRANDE, AZ 85122
(520) 426-9224
1770510943SOUTHWESTERN EYE CENTER LTD
Organization
Durable Medical Equipment & Medical Supplies560 N CAMINO MERCADO STE 1
CASA GRANDE, AZ 85122
(520) 426-9224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003014051, enumerated in the NPI registry as an "individual" on July 10, 2007

The provider is located at 560 N Camino Mercado Ste 1 Casa Grande, Az 85122 and the phone number is (520) 426-9224

The provider's speciality is Optometrist with taxonomy code 152W00000X

The provider has more than 17 years of experience. He graduated from Southern California College Of Optometry in 2007.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $132.23 with an average copayment of $33.05 for new patient appointments. Established patients should expect a typical charge of $71.86 and an average copayment of 17.96. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Diagnostic imaging of optic nerve of eye, Photography of the retina, Diagnostic imaging of retina, Measurement of field of vision during daylight conditions and Eye and medical examination for diagnosis and treatment, established patient.

This NPI record was last updated on July 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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