CAMILLE JACKSON M.D.
NPI 1134574528
Surgery - Vascular Surgery in Oakland, CA

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1411 E 31ST ST, DEPARTMENT OF SURGERY, OAKLAND, CA 94602(510) 437-4965 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Mar 19, 2021 (2 updates tracked since 2021).

About Camille Jackson M.d. NPPES

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

CAMILLE JACKSON M.D. (NPI 1134574528) is an individual vascular surgery provider in Oakland, California, licensed in California (A156408) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2016).

NPPES Registry Identity

NPI1134574528
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameCAMILLE JACKSONCredential: M.D.
Location Address1411 E 31ST ST, DEPARTMENT OF SURGERYOakland, CA 94602-1018
Mailing Address513 Parnassus Ave, S321, Department Of SurgerySan Francisco, CA 94143-2205
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1134574528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · A156408
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1411 E 31ST ST, Oakland, CA 94602

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

Camille Jackson M.d. 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 ID6608259957
PECOS Enrollment IDI20231016002996
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 4

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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
97 services33 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
58 services45 patients
Review by radiologist of arm or leg artery image 75710
This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.
14 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Surgery
1411 E 31ST ST
OAKLAND, CA 94602

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 Camille Jackson's NPI number?

The NPI number for Camille Jackson is 1134574528. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Camille Jackson located?

Camille Jackson practices at 1411 E 31st St Department Of Surgery, Oakland, CA 94602. The listed phone number is (510) 437-4965.

What is Camille Jackson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Camille Jackson enrolled in Medicare?

Yes. Camille Jackson 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.

When was this NPI record last updated?

The NPPES record for Camille Jackson was last updated on October 2, 2023. 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.