DAVID JACKSON M.D.
NPI 1033195607
Emergency Medicine in Youngstown, OH

Q: What is David Jackson's NPI number?

The NPI number for David Jackson is 1033195607. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Q: What is David Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for David Jackson was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment

1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 746-7211(330) 656-5901 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2019, Feb 1, 2019 (2 updates tracked since 2019).

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About David Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID JACKSON M.D. (NPI 1033195607) is an individual emergency medicine provider in Youngstown, Ohio, licensed in Ohio (35059981J) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of University Of Oklahoma College Of Medicine (1986).

NPPES Registry Identity

NPI1033195607

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDAVID JACKSONCredential: M.D.

Location Address1044 BELMONT AVEYoungstown, OH 44504-1006

Mailing Address5700 Darrow Rd, Suite 106Hudson, OH 44236-5021 · (330) 656-5911 · Fax (330) 656-5901

Phone(330) 746-7211

Fax(330) 656-5901

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1986

Enumeration DateDecember 15, 2005

Last NPPES UpdateJuly 25, 20192 updates tracked since enumeration

✔ NPI 1033195607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OH · 35059981J

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1044 BELMONT AVE, Youngstown, OH 44504

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Secondary Practice Locations 11

Location 13535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500

Location 23535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166

Location 3405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211 · Fax (937) 723-4609

Location 4600 W Main StTroy, OH 45373-2928 · Phone (937) 980-7010 · Fax (937) 980-7019

Location 56147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410 · Fax (513) 261-3419

Location 61997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228 · Fax (937) 401-6447

Location 78701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338 · Fax (937) 558-3349

Location 8450 Washington Jackson Rd Ste FEaton, OH 45320-8699 · Phone (937) 456-8376 · Fax (937) 456-8377

Location 91141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500 · Fax (937) 352-3501

Location 10100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700 · Fax (937) 458-4737

Location 114000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791 · Fax (937) 384-8729

Other Identifiers 4

Other700007026OH · Railroad Medicare

OtherP00360149OH · Railroad Medicare

Other001474708-0001OH · Pennsylvania Medicaid

Medicaid0805230OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Jackson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618934936

PECOS Enrollment IDI20041217000325

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL ALLEN VAN WINKLE D.O

Internal Medicine