DR. JEFFREY KLINE JACKSON M.D.
NPI 1194764860
Family Medicine in New York, NY

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
4337 BROADWAY, NEW YORK, NY 10033(212) 568-6300(212) 544-5094 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1194764860
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY KLINE JACKSONCredential: M.D.
Location Address4337 BROADWAYNew York, NY 10033-2411
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Fax(212) 544-5094
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1997
Enumeration DateJune 6, 2006
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
NPI 1194764860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 332008 Licensed in PA · MD456697 Licensed in IL · 036100744
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4337 BROADWAY, New York, NY 10033

Other Identifiers 1

Other833120IL · Medicare Group #

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.

PECOS PAC ID9739154584
PECOS Enrollment IDI20250404001861
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.

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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 12

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

Internal Medicine
4337 BROADWAY
NEW YORK, NY 10033
Internal Medicine
4337 BROADWAY
NEW YORK, NY 10033
Dietitian, Registered
4337 BROADWAY
NEW YORK, NY 10033
Pediatrics
4337 BROADWAY
NEW YORK, NY 10033
Podiatrist
4337 BROADWAY
NEW YORK, NY 10033
Family Medicine
4337 BROADWAY
NEW YORK, NY 10033
Internal Medicine
4337 BROADWAY
NEW YORK, NY 10033
Nurse Practitioner (Family)
4337 BROADWAY
NEW YORK, NY 10033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194764860, enumerated as an "individual" on June 06, 2006.

The provider is located at 4337 BROADWAY NEW YORK, NY 10033 and the phone number is (212) 568-6300.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.