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DR. RICHARD LEON JACKSON MD
NPI 1295780559
Pediatrics in Salt Lake City, UT

Active since May 24, 2006PECOS Enrolled
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-3501(801) 581-3899 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Leon Jackson Md NPPES

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

DR. RICHARD LEON JACKSON MD (NPI 1295780559) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (158572-1205) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295780559
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RICHARD LEON JACKSONCredential: MD
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing Address295 Chipeta Way, Peds AdminSalt Lake City, UT 84108-1220 · (801) 581-2321 · Fax (801) 581-3899
Phone(801) 581-3501
Fax(801) 581-3899
Sole ProprietorYes
Enumeration DateMay 24, 2006
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1295780559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 158572-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
50 N MEDICAL DR, Salt Lake City, UT 84132
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Other Identifiers 1

Medicare UPIND87741UT

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. Richard Leon Jackson Md 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 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1295780559. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Richard Jackson located?

Richard Jackson practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-3501.

What is Richard Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Richard Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Richard Jackson was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.