DR. JEFFREY KLINE JACKSON M.D.
NPI 1194764860
Family Medicine in New York, NY
About Dr. Jeffrey Kline Jackson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY KLINE JACKSON M.D. (NPI 1194764860) is an individual family medicine provider in New York, New York, licensed in New York (332008) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Jeffrey Kline 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeffrey Jackson's NPI number?
The NPI number for Jeffrey Jackson is 1194764860. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Jeffrey Jackson located?
Jeffrey Jackson practices at 4337 Broadway, New York, NY 10033. The listed phone number is (212) 568-6300.
What is Jeffrey Jackson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeffrey Jackson enrolled in Medicare?
Yes. Jeffrey 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 Jeffrey Jackson was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Jeffrey Kline Jackson, M.D. · NPI 1194764860
Family Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1194764860 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 332008 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4337 BROADWAY, New York, NY 10033-2411
- **Phone:** (212) 568-6300 · **Fax:** (212) 544-5094
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Texas Medical School At San Antonio, class of 1997
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Other 833120 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1194764860) · Data from the CMS NPPES public registry.