DYLAN H JACKSON PA
NPI 1124783709
Physician Assistant in Edina, MN

Active since November 08, 2021PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
8100 W 78TH ST STE 230, EDINA, MN 55439(952) 946-9777(952) 946-9888 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 2, 2022, Nov 8, 2021 (2 updates tracked since 2021).

About Dylan H Jackson Pa NPPES

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

DYLAN H JACKSON PA (NPI 1124783709) is an individual physician assistant in Edina, Minnesota and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124783709
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDYLAN H JACKSONCredential: PA
Location Address8100 W 78TH ST STE 230Edina, MN 55439-2570
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Fax(952) 946-9888
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 8, 2021
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
NPI 1124783709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8100 W 78TH ST STE 230, Edina, MN 55439

Accepted 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

Dylan H Jackson Pa 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 ID6709270317
PECOS Enrollment IDI20220224002345
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
18 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55439 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Occupational Therapist
8100 W 78TH ST STE 230
EDINA, MN 55439
Orthopaedic Surgery
8100 W 78TH ST STE 230
EDINA, MN 55439
Orthopaedic Surgery
8100 W 78TH ST STE 230
EDINA, MN 55439
Orthopaedic Surgery
8100 W 78TH ST STE 230
EDINA, MN 55439
Physician Assistant (Surgical)
8100 W 78TH ST STE 230
EDINA, MN 55439
Physician Assistant
8100 W 78TH ST STE 230
EDINA, MN 55439
Physician Assistant
8100 W 78TH ST STE 230
EDINA, MN 55439
Physician Assistant
8100 W 78TH ST STE 230
EDINA, MN 55439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124783709, enumerated as an "individual" on November 08, 2021.

The provider is located at 8100 W 78TH ST STE 230 EDINA, MN 55439 and the phone number is (952) 946-9777.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.

Dylan Jackson is affiliated with: ABBOTT NORTHWESTERN HOSPITAL.