GARY WAYNE JACKSON PA
NPI 1154528263
Physician Assistant in Levelland, TX

Q: What is Gary Jackson's NPI number?

The NPI number for Gary Jackson is 1154528263. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Q: What is Gary Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Jackson was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment

1804 COLLEGE AVE, LEVELLAND, TX 79336(806) 894-3141(806) 894-7094 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gary Wayne Jackson Pa NPPES

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

GARY WAYNE JACKSON PA (NPI 1154528263) is an individual physician assistant in Levelland, Texas, licensed in Texas (PA02551) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Covenant Hospital Levelland, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1154528263

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGARY WAYNE JACKSONCredential: PA

Location Address1804 COLLEGE AVELevelland, TX 79336-6507

Mailing Address1805 S. College AveLevelland, TX 79336 · (806) 864-3141 · Fax (806) 894-7094

Phone(806) 894-3141

Fax(806) 894-7094

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 2, 2007

Last NPPES UpdateDecember 1, 2008

✔ NPI 1154528263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA02551

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.

1804 COLLEGE AVE, Levelland, TX 79336

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Gary Wayne 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 ID6406097930

PECOS Enrollment IDI20170612001980

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.

Hospital Affiliations CMS Care Compare

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

Covenant Hospital Levelland

Acute Care Hospitals · Levelland, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number450755

Location1900 College AveLevelland, TX 79336 · Hockley County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79336 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$103.38 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$38.23 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 5

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

JOHN BARTON HANNA DO

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