BRIAN GENE JACKSON PAC
NPI 1245261064
Physician Assistant in La Jara, CO

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
83.97/100
CMS Quality Rating
509 MAIN STREET, LA JARA, CO 81140(719) 376-2308(719) 376-2395 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Gene Jackson Pac NPPES

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

BRIAN GENE JACKSON PAC (NPI 1245261064) is an individual physician assistant in La Jara, Colorado, licensed in Colorado (843) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1993).

NPPES Registry Identity

NPI1245261064
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN GENE JACKSONCredential: PAC
Location Address509 MAIN STREETLa Jara, CO 81140
Mailing Address19021 Us Highway 285La Jara, CO 81140-9410 · (719) 376-2308 · Fax (719) 274-6065
Fax(719) 376-2395
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1993
Enumeration DateJuly 6, 2006
Last NPPES UpdateMay 6, 2021
NPPES CertifiedApril 2, 2021
NPI 1245261064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · 843
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

509 MAIN STREET, La Jara, CO 81140

Other Identifiers 1

Medicaid07008436CO

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

Brian Gene Jackson Pac 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 ID5890970461
PECOS Enrollment IDI20110425000598
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 81140 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

83.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.8
Promoting Interoperability99
Improvement Activities40
Cost57.16

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers44 claims97 services$8.00 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier14 claims28 services$2.02 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$21.85 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$22.54 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims56 services$3.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers67 claims69 services$20.07 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 3

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

Family Medicine
509 MAIN STREET
LA JARA, CO 81140
Clinic/Center (Rural Health)
509 MAIN STREET
LA JARA, CO 81140
Nurse Practitioner
509 MAIN STREET
LA JARA, CO 81140

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 Brian Jackson's NPI number?

The NPI number for Brian Jackson is 1245261064. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Brian Jackson located?

Brian Jackson practices at 509 Main Street, La Jara, CO 81140. The listed phone number is (719) 376-2308.

What is Brian Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Jackson enrolled in Medicare?

Yes. Brian 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 Brian Jackson was last updated on May 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.