TYLER JACKSON
NPI 1306342084
Radiology - Diagnostic Radiology in Seattle, WA

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 598-3300 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tyler Jackson NPPES

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

TYLER JACKSON (NPI 1306342084) is an individual diagnostic radiology provider in Seattle, Washington, licensed in California (A195992) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2018).

NPPES Registry Identity

NPI1306342084
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTYLER JACKSON
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing Address1959 Ne Pacific StSeattle, WA 98195-0001 · (206) 598-3300
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2018
Enumeration DateApril 2, 2018
Last NPPES UpdateApril 3, 2025
NPPES CertifiedApril 3, 2025
NPI 1306342084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A195992
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License A195992 (CA)
1959 NE PACIFIC ST, Seattle, WA 98195

Secondary Practice Location 1

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3221 · Phone (760) 674-3850

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

Tyler Jackson 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 ID7719429406
PECOS Enrollment IDI20240610002369
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 98195 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 20

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

Internal Medicine (Nephrology)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Psychiatry & Neurology (Neurology)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Psychiatry & Neurology (Psychiatry)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Nurse Practitioner (Family)
1959 NE PACIFIC ST, BOX 356174
SEATTLE, WA 98195
Genetic Counselor, MS
1959 NE PACIFIC ST, BOX 357720
SEATTLE, WA 98195
Genetic Counselor, MS
1959 NE PACIFIC ST, BOX 356320 UNIV. OF WASH
SEATTLE, WA 98195
Nurse Practitioner (Family)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Emergency Medicine
1959 NE PACIFIC ST
SEATTLE, WA 98195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306342084, enumerated as an "individual" on April 02, 2018.

The provider is located at 1959 NE PACIFIC ST SEATTLE, WA 98195 and the phone number is (206) 598-3300.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.