JACKSON COOPER GORDON DO
NPI 1093550626
Emergency Medicine in Saginaw, MI

Active since June 26, 2024PECOS Enrolled
900 COOPER AVE, SAGINAW, MI 48602(989) 583-0000 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Cooper Gordon Do NPPES

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

JACKSON COOPER GORDON DO (NPI 1093550626) is an individual emergency medicine provider in Saginaw, Michigan, licensed in Michigan (5151016541) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1093550626
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACKSON COOPER GORDONCredential: DO
Location Address900 COOPER AVESaginaw, MI 48602-5182
Mailing Address1000 Houghton AveSaginaw, MI 48602-5303
Sole ProprietorNo
Enumeration DateJune 26, 2024
NPPES CertifiedApril 16, 2024
NPI 1093550626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 5151016541
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.
900 COOPER AVE, Saginaw, MI 48602

Secondary Practice Location 1

Location 1800 S Washington AveSaginaw, MI 48601-2551 · Phone (820) 098-9907

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jackson Cooper Gordon Do 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 48602 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Emergency Medicine
900 COOPER AVE
SAGINAW, MI 48602
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
900 COOPER AVE, SUITE 3100
SAGINAW, MI 48602
Emergency Medicine
900 COOPER AVE
SAGINAW, MI 48602
Emergency Medicine
900 COOPER AVE
SAGINAW, MI 48602
Nurse Practitioner
900 COOPER AVE
SAGINAW, MI 48602
Physician Assistant
900 COOPER AVE
SAGINAW, MI 48602
Physical Medicine & Rehabilitation
900 COOPER AVE
SAGINAW, MI 48602
Nurse Practitioner
900 COOPER AVE
SAGINAW, MI 48602

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 Jackson Gordon's NPI number?

The NPI number for Jackson Gordon is 1093550626. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Jackson Gordon located?

Jackson Gordon practices at 900 Cooper Ave, Saginaw, MI 48602. The listed phone number is (989) 583-0000.

What is Jackson Gordon's specialty?

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

Is Jackson Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jackson Gordon was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.