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DR. CHAD HARMAN JACKSON MD
NPI 1184067498
Ophthalmology in Boise, ID

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
111 W MAIN ST STE 200, BOISE, ID 83702(208) 344-3220(208) 344-0461 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 29, 2020, Feb 6, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Chad Harman Jackson Md NPPES

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

DR. CHAD HARMAN JACKSON MD (NPI 1184067498) is an individual ophthalmology provider in Boise, Idaho, licensed in Idaho (M-15230) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184067498
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. CHAD HARMAN JACKSONCredential: MD
Location Address111 W MAIN ST STE 200Boise, ID 83702-7308
Mailing Address111 W Main St Ste 200Boise, ID 83702-7308 · (208) 344-3220 · Fax (208) 344-0461
Phone(208) 344-3220
Fax(208) 344-0461
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2013
Enumeration DateApril 17, 2013
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
✔ NPI 1184067498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in ID · M-15230✔ Licensed in WI · 67198
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 18691 (NV)
111 W MAIN ST STE 200, Boise, ID 83702
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 567-8406
Location 2925 N 87th StMilwaukee, WI 53226-4812 · Phone (414) 456-2020 · Fax (414) 456-6300
Location 35435 Reno Corporate Dr Ste 100Reno, NV 89511-2250 · Phone (775) 322-3311 · Fax (775) 322-8388

Other Identifiers 1

Medicaid1184067498WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.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. Chad Harman 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 ID2567754872
PECOS Enrollment IDI20200804000870
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 11

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
121 services121 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
119 services117 patients
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.
51 services41 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.
32 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services27 patients
Removal of over 1/4 of eyelid margin and repair of eyelid 67966
This procedure involves the removal of more than a quarter of the eyelid margin due to conditions like tumors, infections, or injuries. The remaining part is then repaired to restore normal function and appearance. It's a safe procedure done under local anesthesia.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

DR. MARK J BOERNER M.D.
Ophthalmology
111 W MAIN ST STE 200
BOISE, ID 83702
Ada County (208) 344-3220
IDAHO EYELID & FACIAL PLASTIC SURGERY , PLLC
Ophthalmology
111 W MAIN ST STE 200
BOISE, ID 83702
Ada County (208) 344-3220

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 Chad Jackson's NPI number?

The NPI number for Chad Jackson is 1184067498. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Chad Jackson located?

Chad Jackson practices at 111 W Main St Ste 200, Boise, ID 83702. The listed phone number is (208) 344-3220.

What is Chad Jackson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Chad Jackson enrolled in Medicare?

Yes. Chad 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 Chad Jackson accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Chad 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.

Is Chad Jackson affiliated with any hospitals?

According to CMS data, Chad Jackson is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Chad Jackson was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.