ROBERT ELVON JACKSON MD
NPI 1184740045
Urology in Meridian, ID

Q: What is Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1184740045. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 March 22, 2007PECOS EnrolledAccepts Medicare Assignment

83.32/100

CMS Quality Rating

875 S VANGUARD WAY, SUITE 200 D, MERIDIAN, ID 83642(208) 782-6730(208) 759-7822 Get Directions Write a Review

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

On this page

About Robert Elvon Jackson Md NPPES

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

ROBERT ELVON JACKSON MD (NPI 1184740045) is an individual urology provider in Meridian, Idaho, licensed in Idaho (M-11868) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2006).

NPPES Registry Identity

NPI1184740045

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameROBERT ELVON JACKSONCredential: MD

Location Address875 S VANGUARD WAY, SUITE 200 DMeridian, ID 83642

Mailing Address875 S Vanguard Way, Suite 200 DMeridian, ID 83642 · (208) 782-6730 · Fax (208) 759-7822

Phone(208) 782-6730

Fax(208) 759-7822

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2006

Enumeration DateMarch 22, 2007

Last NPPES UpdateJune 2, 2026

NPPES CertifiedJune 2, 2026

✔ NPI 1184740045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in ID · M-11868✔ Licensed in MI · 4301087650

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301087650 (MI)

875 S VANGUARD WAY, Meridian, ID 83642

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, 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

Robert Elvon 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 ID9830347533

PECOS Enrollment IDI20130305000587

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 12

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 services187 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.

79 services67 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

77 services60 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

60 services55 patients

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.

59 services59 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

57 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

53 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

45 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

26 services26 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

18 services18 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

14 services14 patients

Complete laser fragmentation of prostate including control of bleeding using an endoscope 52649

This procedure involves using a special scope and a laser to break down an enlarged gland in the lower body, improving comfort and function. It also includes managing any bleeding that may occur during this process.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Treasure Valley Hospital

Acute Care Hospitals · Boise, ID

OwnershipProprietary

CMS Certification Number130063

Location8800 West Emerald StreetBoise, ID 83704 · Ada County

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131323

Location100 Hospital DriveKetchum, ID 83340 · Blaine County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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.

83.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.51

Promoting Interoperability

100

Improvement Activities

Cost

64.88

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier14 claims762 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers27 claims3,049 services$1.49 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers63 claims7,240 services$6.12 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 9

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

INTERMOUNTAIN AMBULATORY ANESTHESIA PLLC

Anesthesiology

875 S VANGUARD WAY
MERIDIAN, ID 83642

Ada County (208) 373-5000

JESSE DYLAN CHLEBECK M.D.

Orthopaedic Surgery

875 S VANGUARD WAY
MERIDIAN, ID 83642

Ada County (208) 463-3000

GARRETT SWEET NURSE PRACTITIONER

Urology

875 S VANGUARD WAY, SUITE 200 D
MERIDIAN, ID 83642

Ada County (208) 782-6730

NICOLE MARIE FUNK PA-C

Physician Assistant (Surgical)

875 S VANGUARD WAY
MERIDIAN, ID 83642

Ada County (208) 463-3000

TEN MILE SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

875 S VANGUARD WAY
MERIDIAN, ID 83642

Ada County (208) 960-0870

DR. MICHAEL BINNS TAYLOR MD

Urology

875 S VANGUARD WAY, SUITE 200 D
MERIDIAN, ID 83642

Ada County (208) 782-6730

MR. BRIAN DENNIS KITTELSON DNP, ARNP, FNP-C

Nurse Practitioner (Family)

875 S VANGUARD WAY
MERIDIAN, ID 83642

Ada County (208) 884-2922

MARI A RILEY MD

Family Medicine

875 S VANGUARD WAY
MERIDIAN, ID 83642

Ada County (208) 463-3000

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1184740045. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Robert Jackson located?

Robert Jackson practices at 875 S Vanguard Way Suite 200 D, Meridian, ID 83642. The listed phone number is (208) 782-6730.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Robert Jackson enrolled in Medicare?

Yes. Robert 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 Robert Jackson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Robert 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 Robert Jackson affiliated with any hospitals?

According to CMS data, Robert Jackson is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Treasure Valley Hospital, St Luke's Nampa Medical Center and St Luke's Wood River Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.