DR. JONATHAN CLAYTON JACKSON M.D.
NPI 1376527556
Family Medicine - Sports Medicine in Usaf Academy, CO

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
4102 PINION DR, 10 MDG, USAF ACADEMY, CO 80840(719) 333-5183 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jonathan Clayton Jackson M.d. NPPES

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

DR. JONATHAN CLAYTON JACKSON M.D. (NPI 1376527556) is an individual sports medicine provider in Usaf Academy, Colorado, licensed in Utah (5724988-1205) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2002).

NPPES Registry Identity

NPI1376527556
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. JONATHAN CLAYTON JACKSONCredential: M.D.
Location Address4102 PINION DR, 10 MDGUsaf Academy, CO 80840-2502
Mailing Address4102 Pinion Dr, 10 MdgUsaf Academy, CO 80840-2502 · (719) 333-5187
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2002
Enumeration DateDecember 1, 2005
Last NPPES UpdateMarch 29, 2018
NPI 1376527556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in UT · 5724988-1205
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

4102 PINION DR, Usaf Academy, CO 80840

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

Dr. Jonathan Clayton 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 ID4789872169
PECOS Enrollment IDI20221026000217
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 80840 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Ophthalmology
4102 PINION DR
U S A F ACADEMY, CO 80840
Physical Therapist
4102 PINION DR
USAF ACADEMY, CO 80840
Family Medicine
4102 PINION DR, DEPT. OF FAMILY MEDICINE
U S A F ACADEMY, CO 80840
Internal Medicine
4102 PINION DR, INTERNAL MEDICINE CLINIC/SGOMI
U S A F ACADEMY, CO 80840
Radiology (Diagnostic Radiology)
4102 PINION DR
U S A F ACADEMY, CO 80840
Radiology (Diagnostic Radiology)
4102 PINION DR
U S A F ACADEMY, CO 80840
Internal Medicine
4102 PINION DR
U S A F ACADEMY, CO 80840
Radiology (Diagnostic Radiology)
4102 PINION DR, SUITE 100
U S A F ACADEMY, CO 80840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376527556, enumerated as an "individual" on December 01, 2005.

The provider is located at 4102 PINION DR 10 MDG USAF ACADEMY, CO 80840 and the phone number is (719) 333-5183.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.