DEREK DEAN JACKSON MD
NPI 1225299357
Family Medicine in Boise, ID
About Derek Dean Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK DEAN JACKSON MD (NPI 1225299357) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M-10857) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted 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
Derek Dean 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
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 Derek Jackson's NPI number?
The NPI number for Derek Jackson is 1225299357. It was assigned to this individual provider in the NPPES registry on June 20, 2008.
Where is Derek Jackson located?
Derek Jackson practices at 777 N Raymond St, Boise, ID 83704. The listed phone number is (208) 367-6030.
What is Derek Jackson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Derek Jackson enrolled in Medicare?
Yes. Derek 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 Derek Jackson accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Derek 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.
When was this NPI record last updated?
The NPPES record for Derek Jackson was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Derek Dean Jackson, MD · NPI 1225299357
Family Medicine physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since June 20, 2008.
## Identity
- **NPI:** 1225299357 (Entity type: Individual)
- **Enumerated:** June 20, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** M-10857 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 N RAYMOND ST, Boise, ID 83704-9251
- **Phone:** (208) 367-6030 · **Fax:** (208) 322-7018
## 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 Washington School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** August 4, 2014
- **Other identifiers:** Medicare PIN 11975721 (ID); Medicare PIN 1197572 (ID); Medicaid 1225299357 (ID); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1225299357) · Data from the CMS NPPES public registry.