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TAYLOR KIYOTA JACKSON OD
NPI 1275158404
Optometrist in Frederick, CO

Active since June 13, 2020PECOS EnrolledAccepts Medicare Assignment
5900 KEYES ST STE 101, FREDERICK, CO 80504(303) 833-1056 Get Directions Write a Review

NPPES record last updated: May 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2021, Aug 27, 2020, Jun 13, 2020 (3 updates tracked since 2020).

About Taylor Kiyota Jackson Od NPPES

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

TAYLOR KIYOTA JACKSON OD (NPI 1275158404) is an individual optometrist in Frederick, Colorado, licensed in Colorado (OPT0003599) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Longmont, and is a graduate of Southern California College Of Optometry (2020).

NPPES Registry Identity

NPI1275158404
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTAYLOR KIYOTA JACKSONCredential: OD
Location Address5900 KEYES ST STE 101Frederick, CO 80504-5956
Mailing Address6408 Dry Fork DrFrederick, CO 80516-9510 · (303) 921-2307
Phone(303) 833-1056
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2020
Enumeration DateJune 13, 2020
Last NPPES UpdateMay 15, 20213 updates tracked since enumeration
NPPES CertifiedMay 15, 2021
✔ NPI 1275158404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · OPT0003599
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5900 KEYES ST STE 101, Frederick, CO 80504
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Secondary Practice Location 1

Location 11600 Iron Horse Dr Apt B102Longmont, CO 80501-5704 · Phone (303) 921-2307

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.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

Taylor Kiyota Jackson Od 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 ID7315361839
PECOS Enrollment IDI20200716003074
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 4

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
56 services56 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services17 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80504 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL ANDREW BAGLEY OD
Optometrist
5900 KEYES ST STE 101
FREDERICK, CO 80504
Weld County (303) 833-1056
CARBON VALLEY EYE CARE
Optometrist
5900 KEYES ST STE 101
FREDERICK, CO 80504
Weld County (303) 833-1056
MR. MICHAEL EDWARD KODITEK O.D.
Optometrist
5900 KEYES ST STE 101
FREDERICK, CO 80504
Weld County (303) 833-1056
DR. JEFFREY BERGER O.D.
Optometrist
5900 KEYES ST STE 101
FREDERICK, CO 80504
Weld County (303) 833-1056

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 Taylor Jackson's NPI number?

The NPI number for Taylor Jackson is 1275158404. It was assigned to this individual provider in the NPPES registry on June 13, 2020.

Where is Taylor Jackson located?

Taylor Jackson practices at 5900 Keyes St Ste 101, Frederick, CO 80504. The listed phone number is (303) 833-1056.

What is Taylor Jackson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Taylor Jackson enrolled in Medicare?

Yes. Taylor 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 Taylor Jackson accept?

Health plans from Providence Health Plan and UnitedHealthcare list Taylor 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 Taylor Jackson was last updated on May 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.