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LEE SA B. JACKSON M.D.
NPI 1306837042
Ophthalmology in Mesa, AZ

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4824 E BASELINE RD, SUITE 110, MESA, AZ 85206(480) 615-2020(480) 219-9957 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Dec 28, 2016 (2 updates tracked since 2016).

About Lee Sa B. Jackson M.d. NPPES

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

LEE SA B. JACKSON M.D. (NPI 1306837042) is an individual ophthalmology provider in Mesa, Arizona, licensed in Arizona (25793) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1992).

NPPES Registry Identity

NPI1306837042
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameLEE SA B. JACKSONCredential: M.D.
Location Address4824 E BASELINE RD, SUITE 110Mesa, AZ 85206-4676
Mailing Address4824 E Baseline Rd, Ste 110Mesa, AZ 85206-4678 · (480) 615-2020 · Fax (480) 219-9957
Phone(480) 615-2020
Fax(480) 219-9957
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1992
Enumeration DateNovember 2, 2005
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1306837042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AZ · 25793
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4824 E BASELINE RD, Mesa, AZ 85206
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Other Names 1

Former Name (1)Lee Sa B. Baca M.d.

Other Identifiers 1

Medicaid404731AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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

Lee Sa B. 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 ID42297038
PECOS Enrollment IDI20040707001091
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 12

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.
550 services209 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
302 services218 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
153 services100 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
147 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services60 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
82 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

DONALD E. CHUDY, DPM, PC
Podiatrist (Foot & Ankle Surgery)
4824 E BASELINE RD, SUITE 107
MESA, AZ 85206
Maricopa County (480) 964-1715
DR. RAMONA BEATRICE WOODRIFFE MD
Family Medicine
4824 E BASELINE RD, SUITE 110
MESA, AZ 85206
Maricopa County (480) 969-4040
VERVE DENTAL GROUP, LLC
Dentist
4824 E BASELINE RD, STE 140
MESA, AZ 85206
Maricopa County (480) 969-4040
DR. ALBENA D BAHARIEVA MD
Internal Medicine
4824 E BASELINE RD, SUITE 110
MESA, AZ 85206
Maricopa County (480) 582-1127
VERVE PHYSICAL THERAPY GROUP LLC
Physical Therapist
4824 E BASELINE RD, SUITE 140
MESA, AZ 85206
Maricopa County (480) 969-4040
MR. CHRISTOPHER R CARLSON PA-C, ATC
Physician Assistant (Surgical)
4824 E BASELINE RD, SUITE 113
MESA, AZ 85206
Maricopa County (480) 350-3800
DAVID A WARKENTIN DC
Chiropractor
4824 E BASELINE RD, SUITE #140
MESA, AZ 85206
Maricopa County (480) 969-4040
GREGORY D LAYTON, MD, PLC
Obstetrics & Gynecology
4824 E BASELINE RD, SUITE 129
MESA, AZ 85206
Maricopa County (480) 644-1001

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 Lee Sa Jackson's NPI number?

The NPI number for Lee Sa Jackson is 1306837042. It was assigned to this individual provider in the NPPES registry on November 2, 2005. The provider is also known as Lee Sa B. Baca M.D..

Where is Lee Sa Jackson located?

Lee Sa Jackson practices at 4824 E Baseline Rd Suite 110, Mesa, AZ 85206. The listed phone number is (480) 615-2020.

What is Lee Sa Jackson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lee Sa Jackson enrolled in Medicare?

Yes. Lee Sa 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 Lee Sa Jackson accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Lee Sa 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 Lee Sa Jackson was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.