DR. TRACY P JACKSON MD
NPI 1154436590
Anesthesiology - Pain Medicine in Walnut Creek, CA

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
2960 CAMINO DIABLO STE 105, WALNUT CREEK, CA 94597(800) 892-2695 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2022, Oct 14, 2020 (2 updates tracked since 2020).

About Dr. Tracy P Jackson Md NPPES

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

DR. TRACY P JACKSON MD (NPI 1154436590) is an individual pain medicine provider in Walnut Creek, California, licensed in Tennessee (42636) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2000).

NPPES Registry Identity

NPI1154436590
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameDR. TRACY P JACKSONCredential: MD
Location Address2960 CAMINO DIABLO STE 105Walnut Creek, CA 94597-3945
Mailing Address719 Thompson Ln Ste 22209Nashville, TN 37204-4692 · (615) 322-4311 · Fax (615) 322-9089
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2000
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 10, 20222 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
NPI 1154436590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Licenses Licensed in TN · 42636 Licensed in CA · A97159 Licensed in NC · 200300358
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 42636 (TN), A97159 (CA), 200300358 (NC)
2960 CAMINO DIABLO STE 105, Walnut Creek, CA 94597

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

Dr. Tracy P Jackson Md 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 ID8921030255
PECOS Enrollment IDI20071210000559, I20200527001097, I20231020002394
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
227 services55 patients

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Psychiatric/Mental Health)
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597
Social Worker (Clinical)
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597
Family Medicine (Addiction Medicine)
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597
Social Worker (Clinical)
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597
Specialist
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597
Preventive Medicine (Public Health & General Preventive Medicine)
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597
Family Medicine (Addiction Medicine)
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597
Counselor (Addiction (Substance Use Disorder))
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597

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 Tracy Jackson's NPI number?

The NPI number for Tracy Jackson is 1154436590. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Tracy Jackson located?

Tracy Jackson practices at 2960 Camino Diablo Ste 105, Walnut Creek, CA 94597. The listed phone number is (800) 892-2695.

What is Tracy Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Tracy Jackson enrolled in Medicare?

Yes. Tracy 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.

What insurance does Tracy Jackson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Oscar Insurance Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Tracy Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Jackson was last updated on October 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.