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DR. HAROLD WILLIAM JACKSON DO
NPI 1235126475
Family Medicine in Riverside, CA

Active since October 03, 2005PECOS Enrolled
4646 BROCKTON AVE, SUITE 202, RIVERSIDE, CA 92506(951) 774-2942(951) 774-2945 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Harold William Jackson Do NPPES

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

DR. HAROLD WILLIAM JACKSON DO (NPI 1235126475) is an individual family medicine provider in Riverside, California, licensed in California (20A3741) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235126475
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HAROLD WILLIAM JACKSONCredential: DO
Location Address4646 BROCKTON AVE, SUITE 202Riverside, CA 92506-0102
Mailing Address4646 Brockton Ave, Ste 203Riverside, CA 92506-0104 · (951) 774-2800 · Fax (951) 774-2846
Phone(951) 774-2942
Fax(951) 774-2945
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateOctober 23, 2017
✔ NPI 1235126475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A3741
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.
4646 BROCKTON AVE, Riverside, CA 92506
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Other Identifiers 1

Medicare ID-Type UnspecifiedE08695

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Harold William Jackson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92506 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,283 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%218 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
33%218 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$65.15 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims2,142 services$0.03 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$34.58 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 20

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

NASEEM A ATTAR M D INC
Surgery
4646 BROCKTON AVE, SUITE 302-4
RIVERSIDE, CA 92506
Riverside County (951) 686-4677
CARL GEORGE KNOPKE III MD
Family Medicine
4646 BROCKTON AVE, STE 302
RIVERSIDE, CA 92506
Riverside County (951) 774-2723
KELLY L SALAZAR PA-C
Physician Assistant
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 682-6900
MRS. LESLEY ANN LAIRD PA-C
Physician Assistant (Medical)
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 774-2723
JOHN DAVID BRANCH DO
Family Medicine
4646 BROCKTON AVE, SUITE 202
RIVERSIDE, CA 92506
Riverside County (951) 774-2952
GARY M. FEINBERG ENT, INC.
Otolaryngology (Plastic Surgery within the Head & Neck)
4646 BROCKTON AVE, SUITE 201
RIVERSIDE, CA 92506
Riverside County (951) 788-1447
RAINCROSS MEDICAL GROUP INC
Family Medicine
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 774-2881
LINNEA HONDORP NP
Nurse Practitioner (Gerontology)
4646 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 774-2800

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 Harold Jackson's NPI number?

The NPI number for Harold Jackson is 1235126475. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Harold Jackson located?

Harold Jackson practices at 4646 Brockton Ave Suite 202, Riverside, CA 92506. The listed phone number is (951) 774-2942.

What is Harold Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harold Jackson enrolled in Medicare?

Yes. Harold Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Harold Jackson was last updated on October 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.