JACKSON COOPER GORDON DO
NPI 1093550626
Emergency Medicine in Saginaw, MI
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, maintains a secondary practice location in Saginaw, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jackson Cooper Gordon Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Jackson Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saginaw, MI 48601
- Reassigned Medicare billing, Michigan enrollment
- 168 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jackson Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Gordon reassigns Medicare benefits to Cep America LLC (Saginaw, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Jackson Cooper Gordon, DO · NPI 1093550626
Emergency Medicine physician in Saginaw, Michigan. Individual provider, active in the CMS NPPES registry since June 26, 2024.
## Identity
- **NPI:** 1093550626 (Entity type: Individual)
- **Enumerated:** June 26, 2024
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5151016541 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 COOPER AVE, Saginaw, MI 48602-5182
- **Phone:** (989) 583-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cep America LLC (NPI 1912687328, Saginaw, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093550626) · Data from the CMS NPPES public registry.