EASTON D JACKSON M.D.
NPI 1316049828
Family Medicine in West Valley City, UT

Active since September 04, 2006PECOS EnrolledAccepts Medicare Assignment
3725 W 4100 S, WEST VALLEY CITY, UT 84120(801) 965-3600(801) 965-3526 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Easton D Jackson M.d. NPPES

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

EASTON D JACKSON M.D. (NPI 1316049828) is an individual family medicine provider in West Valley City, Utah, licensed in Utah (5636244-1205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Riverton Hospital, and is a graduate of University Of Utah School Of Medicine (2001).

NPPES Registry Identity

NPI1316049828
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEASTON D JACKSONCredential: M.D.
Location Address3725 W 4100 SWest Valley City, UT 84120-5530
Mailing Address3725 W 4100 SWest Valley City, UT 84120-5530 · (801) 965-3600 · Fax (801) 965-3526
Fax(801) 965-3526
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2001
Enumeration DateSeptember 4, 2006
Last NPPES UpdateMay 13, 2013
NPI 1316049828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 5636244-1205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3725 W 4100 S, West Valley City, UT 84120

Other Identifiers 2

Medicare UPINH97910UT
Medicare ID-Type Unspecified000012716UT

Accepted 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

Easton D 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 ID1355244039
PECOS Enrollment IDI20040818000191
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 6

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 office or other outpatient visit, 30-39 minutes 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.
88 services84 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services72 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services24 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use 91301
The COVID-19 mRNA vaccine is a shot that boosts your body's natural defenses against the virus. It contains a small piece of the virus's spike protein, which triggers your immune system to build a response. It's free of preservatives, given in a 100 mcg dose, and is injected into a muscle.
21 services21 patients
Adm sarscov2 100mcg/0.5ml3rd 0013A
This is the administration of a third dose of a SARS-CoV-2 vaccine, given in a dose of 100 micrograms in 0.5 milliliters. This vaccine helps your body develop immunity against the COVID-19 virus. It's a crucial step in protecting your health.
18 services18 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84120 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.

Physical Therapist
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Specialist
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Physical Therapist
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Obstetrics & Gynecology
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Physical Therapist
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Specialist/Technologist (Athletic Trainer)
3725 W 4100 S
WEST VALLEY, UT 84120
Physical Therapist
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Dentist (Orthodontics and Dentofacial Orthopedics)
3725 W 4100 S
SALT LAKE CITY, UT 84120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316049828, enumerated as an "individual" on September 04, 2006.

The provider is located at 3725 W 4100 S WEST VALLEY CITY, UT 84120 and the phone number is (801) 965-3600.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.

Easton Jackson is affiliated with: RIVERTON HOSPITAL.