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DR. MICHAEL REID JACKSON M.D.
NPI 1043239429
Family Medicine in University Place, WA

Active since July 18, 2006PECOS Enrolled
5350 ORCHARD ST W, SUITE 202, UNIVERSITY PLACE, WA 98467(253) 472-4444(253) 301-4360 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Reid Jackson M.d. NPPES

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

DR. MICHAEL REID JACKSON M.D. (NPI 1043239429) is an individual family medicine provider in University Place, Washington, licensed in Washington (0019523) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043239429
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL REID JACKSONCredential: M.D.
Location Address5350 ORCHARD ST W, SUITE 202University Place, WA 98467-4817
Mailing Address5350 Orchard St W, Suite 202University Place, WA 98467-4817 · (253) 472-4444 · Fax (253) 401-4360
Phone(253) 472-4444
Fax(253) 301-4360
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateMarch 18, 2014
✔ NPI 1043239429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 0019523
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5350 ORCHARD ST W, University Place, WA 98467
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Other Identifiers 3

Medicare ID-Type UnspecifiedAB13323WA
Medicaid1077510WA
Medicare UPINA05983WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Reid Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98467 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$33.11 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$34.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MICHAEL R. JACKSON, M.D. P.S.
Family Medicine
5350 ORCHARD ST W, SUITE 202
UNIVERSITY PLACE, WA 98467
Pierce County (253) 472-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1043239429. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Michael Jackson located?

Michael Jackson practices at 5350 Orchard St W Suite 202, University Place, WA 98467. The listed phone number is (253) 472-4444.

What is Michael Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Jackson enrolled in Medicare?

Yes. Michael Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.