1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Emergency Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLIAM P JACKSON M.D.
NPI 1316068497
Emergency Medicine in Boston, MA

Active since April 03, 2007PECOS Enrolled
TUFTS-NEW ENGLAND MEDICAL CENTER, 750 WASHINGTON STREET, BOSTON, MA 02116(617) 636-4720 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2026, Jan 26, 2021 (2 updates tracked since 2021).

About William P Jackson M.d. NPPES

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

WILLIAM P JACKSON M.D. (NPI 1316068497) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (216300) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 9 additional practice locations, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1316068497
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameWILLIAM P JACKSONCredential: M.D.
Location AddressTUFTS-NEW ENGLAND MEDICAL CENTER, 750 WASHINGTON STREETBoston, MA 02116
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Phone(617) 636-4720
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 3, 2007
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1316068497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 216300
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
TUFTS-NEW ENGLAND MEDICAL CENTER, Boston, MA 02116
Open in Google Maps ↗

Secondary Practice Locations 9

Location 115416 N Florida Ave Ste 203Tampa, FL 33613-1239 · Phone (833) 904-2273
Location 24444 The Plz Unit 18Charlotte, NC 28215-2189 · Phone (336) 360-2407
Location 326026 W 12 Mile Rd Ste 202Southfield, MI 48034-1783 · Phone (833) 904-2273
Location 4100 Grove St Ste 115Worcester, MA 01605-2630 · Phone (833) 904-2273
Location 51259 Bedford AveBrooklyn, NY 11216-1813 · Phone (833) 904-2273
Location 6495 Flatbush Ave Ste C5Brooklyn, NY 11225-3782 · Phone (833) 904-2273
Location 72301 N Meridian StIndianapolis, IN 46208-5729 · Phone (833) 904-2273
Location 816115 LaSalle StreetSouth Holland, IL 60473 · Phone (833) 904-2273
Location 9500 E Main St Ste 105Columbus, OH 43215-5619 · Phone (833) 904-2273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William P Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274600580
PECOS Enrollment IDI20251106005089
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.

Medicare Billing Reassignments

3

Medicare enrollment records show William Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantagecare Physicians PC
185 mi
General Practice
215 E 95TH ST
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
NPI 1336578772 (212) 996-8000
Cityblock Medical Practice, LLC
635 mi
Primary Care
6100 E MAIN ST STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 62 clinicians in this Medicare group
NPI 1013673821 (833) 904-0620
Cityblock Medical Practice, P.A.
803 mi
Internal Medicine
2620 KESSLER BOULEVARD EAST DR STE 110
Indianapolis, IN 46220
  • Reassigned Medicare billing, Florida, Illinois, Indiana, Michigan and North Carolina enrollments
  • Medicare enrollment name: Cityblock Medical Practice PA
  • 41 clinicians in this Medicare group
NPI 1588296784 (800) 336-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02116 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 William Jackson's NPI number?

The NPI number for William Jackson is 1316068497. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is William Jackson located?

William Jackson practices at Tufts-New England Medical Center 750 Washington Street, Boston, MA 02116. The listed phone number is (617) 636-4720.

What is William Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is William Jackson enrolled in Medicare?

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

Which organizations bill Medicare for William Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Jackson reassigns Medicare benefits to 3 organizations: Advantagecare Physicians PC (New York, NY), Cityblock Medical Practice, LLC (Columbus, OH) and Cityblock Medical Practice, P.A. (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Jackson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.