CAROL A JACKSON M.D.
NPI 1255434825
Otolaryngology in Newport Beach, CA

Q: What is Carol Jackson's NPI number?

The NPI number for Carol Jackson is 1255434825. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Carol Jackson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Jackson was last updated on June 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

361 HOSPITAL RD, STE 325, NEWPORT BEACH, CA 92663(949) 574-7744(949) 642-3686 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Carol A Jackson M.d. NPPES

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

CAROL A JACKSON M.D. (NPI 1255434825) is an individual otolaryngology provider in Newport Beach, California, licensed in California (G50085) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1978).

NPPES Registry Identity

NPI1255434825

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameCAROL A JACKSONCredential: M.D.

Location Address361 HOSPITAL RD, STE 325Newport Beach, CA 92663-3522

Mailing Address361 Hospital Rd, Ste 325Newport Beach, CA 92663-3522 · (949) 574-7744 · Fax (949) 642-3686

Phone(949) 574-7744

Fax(949) 642-3686

Sole ProprietorYes

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1978

Enumeration DateSeptember 7, 2006

Last NPPES UpdateJune 3, 2009

✔ NPI 1255434825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CA · G50085

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

361 HOSPITAL RD, Newport Beach, CA 92663

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Other Identifiers 2

Medicare UPINA54901CA

Medicare PING50085CA

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

Carol A 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 ID345491544

PECOS Enrollment IDI20121116000425

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.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Training for self-care or home management, each 15 minutes 97535

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

653 services172 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

492 services178 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

436 services158 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

383 services160 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

336 services181 patients

Test to assess hearing loss using different tone pitches 92575

This is a hearing test, often called an audiometry test, which measures your ability to hear various pitch tones. It helps identify any hearing loss you might have. Different tones are played through headphones and you indicate when you can hear them.

254 services162 patients

Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424

Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.

188 services110 patients

Test or measurement for functional capacity, each 15 minutes 97750

This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.

164 services18 patients

Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month 99425

Principal care management services involve managing a single high-risk disease. A qualified healthcare professional provides this service, dedicating additional 30 minutes each month to monitor and manage your condition. It's a continuous effort to ensure optimal health for you.

158 services101 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

126 services16 patients

Therapy procedure using sensory experiences 97533

This therapy procedure utilizes sensory experiences to help improve your cognitive functions and emotional regulation. It involves activities like listening to music, touching objects, or doing exercises, to stimulate your senses and support your healing process.

126 services67 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

117 services21 patients

Removal of foreign body in ear canal 69200

This procedure involves the careful extraction of an object that has become lodged in your ear canal. It is performed by a medical professional using specialized tools. The process is usually quick and painless, but may require local anesthesia depending on the situation.

115 services81 patients

Test to assess electrical potentials generated in the inner ear as a result of sound stimulation 92584

This test, known as an auditory brainstem response test, checks how your inner ear responds to sound. It measures the electrical signals your ear sends to your brain when it hears a noise. It's a simple, non-invasive procedure that helps identify hearing issues.

99 services89 patients

Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report 92653

This procedure examines how your brain responds to sound, aiding in the diagnosis of nervous system disorders. It involves playing sounds and monitoring brain activity, followed by an expert interpretation and report.

81 services78 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

68 services49 patients

Evaluation and testing for balance with recording 92540

This procedure involves a series of evaluations and tests to analyze your balance. Recordings are made to track your performance, helping identify any issues. This aids in determining the best treatment for any balance disorders you may have.

52 services49 patients

Use of electrodes during balance testing 92547

Balance testing with electrodes involves attaching small sensors to your skin. These sensors record your body's responses to various balance tests. They help in assessing your balance and coordination by measuring your body's electrical activity as you perform specific tasks.

52 services49 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

51 services51 patients

Repositioning exercises of head for treatment of dizziness, each day 95992

Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.

39 services16 patients

Test for eardrum and muscle function 92550

This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.

30 services29 patients

Removal of bone, 20.0 sq cm or less 11044

The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.

23 services17 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

15 services11 patients

Test to assess balance during warm and cool irrigation in both ears 92537

This is a test called caloric stimulation, used to check your balance function. During this procedure, warm and cool water are gently introduced into your ears. Your eye movements are then observed, as they can indicate issues with balance or inner ear function.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

WARREN H FONG MD INC

Internal Medicine (Hematology & Oncology)

361 HOSPITAL RD, STE 530
NEWPORT BEACH, CA 92663

Orange County (949) 574-1610

BRENT C. NORMAN MD

Ophthalmology

361 HOSPITAL RD, SUITE 126
NEWPORT BEACH, CA 92663

Orange County (949) 722-3980

DOCTORS OFFICE FOR WOMEN

Obstetrics & Gynecology

361 HOSPITAL RD, SUITE 533
NEWPORT BEACH, CA 92663

Orange County (949) 650-7100

MICHAEL YU M.D

Family Medicine

361 HOSPITAL RD, 322
NEWPORT BEACH, CA 92663

Orange County (949) 574-0777

ATEF KHOUZAM M.D

Family Medicine

361 HOSPITAL RD, 322
NEWPORT BEACH, CA 92663

Orange County (949) 574-0777

JAMES BERMAN M.D

Family Medicine

361 HOSPITAL RD, 322
NEWPORT BEACH, CA 92663

Orange County (949) 574-0777

ROBERT EVAN ANDERSON M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

361 HOSPITAL RD, SUITE 333
NEWPORT BEACH, CA 92663

Orange County (949) 642-8727

TONIA MARIE MARRALLE M.D.

Specialist

361 HOSPITAL RD, SUITE 424
NEWPORT BEACH, CA 92663

Orange County (949) 645-5885

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 Carol Jackson's NPI number?

The NPI number for Carol Jackson is 1255434825. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Carol Jackson located?

Carol Jackson practices at 361 Hospital Rd Ste 325, Newport Beach, CA 92663. The listed phone number is (949) 574-7744.

What is Carol Jackson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Carol Jackson enrolled in Medicare?

Yes. Carol 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 Carol Jackson was last updated on June 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.