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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: August 09, 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 Intermountain Health Alta View 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
Phone(801) 965-3600
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
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH97910UT
Medicare ID-Type Unspecified000012716UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.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 with low level od decision making, if using time, 20 minutes or more 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.
88 services86 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.
87 services86 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.
40 services40 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
26 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

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.

JENNIFER J DENBLEYKER MD
Family Medicine
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600
TAMI JOHNSON
Community Health Worker
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 565-6900
MISS NATALIE EVANS DAHLE PA-S
Physician Assistant
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600
MR. BRYAN ALLRED
Pharmacist
3725 W 4100 S
WEST VALLEY, UT 84120
Salt Lake County (801) 597-5650
SHANELL N RICH FNP
Nurse Practitioner
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600
DEBORAH PLASMAN PA C
Physician Assistant
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600
BRYNLEE LEAVITT
Community Health Worker
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 565-6900
MS. CARINA LESSER FNP
Nurse Practitioner
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600

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 Easton Jackson's NPI number?

The NPI number for Easton Jackson is 1316049828. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Easton Jackson located?

Easton Jackson practices at 3725 W 4100 S, West Valley City, UT 84120. The listed phone number is (801) 965-3600.

What is Easton Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Easton Jackson enrolled in Medicare?

Yes. Easton 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 Easton Jackson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Easton 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.

Is Easton Jackson affiliated with any hospitals?

According to CMS data, Easton Jackson is affiliated with Intermountain Health Alta View Hospital and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Easton Jackson was last updated on May 13, 2013. 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.