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HEATHER MARIA JACKSON D.O.
NPI 1104034008
Family Medicine in Beavercreek, OH

Active since May 21, 2007PECOS Enrolled
2322 LAKEVIEW DR, BEAVERCREEK, OH 45431(937) 426-0106(937) 426-7153 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Maria Jackson D.o. NPPES

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

HEATHER MARIA JACKSON D.O. (NPI 1104034008) is an individual family medicine provider in Beavercreek, Ohio, licensed in Ohio (34010401) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1104034008
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER MARIA JACKSONCredential: D.O.
Location Address2322 LAKEVIEW DRBeavercreek, OH 45431-2772
Mailing Address4700 Smith Rd, Ste ACincinnati, OH 45212-2787 · (513) 533-1199 · Fax (513) 533-6000
Phone(937) 426-0106
Fax(937) 426-7153
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2003
Enumeration DateMay 21, 2007
Last NPPES UpdateFebruary 6, 2014
✔ NPI 1104034008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34010401
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.
2322 LAKEVIEW DR, Beavercreek, OH 45431
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Maria Jackson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385731520
PECOS Enrollment IDI20260507002465
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 45431 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf L0651
DME-Orthotic Devices · category DF007N
5 suppliers29 claims29 services$802.84 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 3

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

PREMIER INTEGRATED MEDICAL ASSOC LTD
Pediatrics
2322 LAKEVIEW DR
BEAVERCREEK, OH 45431
Greene County (937) 320-3848
ADVANCE INTERNAL MEDICINE PRIMARY CARE ,LLC
Internal Medicine
2322 LAKEVIEW DR
BEAVERCREEK, OH 45431
Greene County (937) 424-5986
PREMIER INTEGRATED MEDICAL ASSOC LTD
Family Medicine
2322 LAKEVIEW DR
BEAVERCREEK, OH 45431
Greene County (937) 426-0106

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 Heather Jackson's NPI number?

The NPI number for Heather Jackson is 1104034008. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Heather Jackson located?

Heather Jackson practices at 2322 Lakeview Dr, Beavercreek, OH 45431. The listed phone number is (937) 426-0106.

What is Heather Jackson's specialty?

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

Is Heather Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Jackson was last updated on February 6, 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.