DR. STEPHEN W JACKSON M.D.
NPI 1386609808
Urology in Cleveland, TN

Q: What is Stephen Jackson's NPI number?

The NPI number for Stephen Jackson is 1386609808. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Stephen Jackson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Jackson was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 18, 2006PECOS Enrolled

400 BERYWOOD TRL NW, SUITE B, CLEVELAND, TN 37312(423) 472-3201(423) 476-4949 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Stephen W Jackson M.d. NPPES

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

DR. STEPHEN W JACKSON M.D. (NPI 1386609808) is an individual urology provider in Cleveland, Tennessee, licensed in Tennessee (MD017093) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386609808

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. STEPHEN W JACKSONCredential: M.D.

Location Address400 BERYWOOD TRL NW, SUITE BCleveland, TN 37312-5287

Mailing Address400 Berywood Trl Nw, Suite BCleveland, TN 37312-5287 · (423) 472-3201 · Fax (423) 476-4949

Phone(423) 472-3201

Fax(423) 476-4949

Sole ProprietorNo

Enumeration DateApril 18, 2006

Last NPPES UpdateOctober 23, 2007

✔ NPI 1386609808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TN · MD017093

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

400 BERYWOOD TRL NW, Cleveland, TN 37312

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Other Identifiers 2

Medicare UPIND93171

Medicare PIN3043160TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen W Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Tennessee Valley Urology Center PC

Same address

Urology

400 BERYWOOD TRL NW, STE B
Cleveland, TN 37312

Reassigned Medicare billing, Tennessee enrollment
9 clinicians in this Medicare group

NPI 1538173232 (423) 472-3201

Methodist Medical Center Of Illinois

460 mi

Family Medicine

120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603

Reassigned Medicare billing, Illinois enrollment
693 clinicians in this Medicare group

NPI 1184670663 (309) 671-8230

Gundersen Lutheran Medical Center Inc

562 mi

Clinic/Center

6150 W LAYTON AVE
Milwaukee, WI 53220

Reassigned Medicare billing, Wisconsin enrollment
1,457 clinicians in this Medicare group

NPI 1871222117 (608) 782-7300

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

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.

43 services39 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

34 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services30 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

24 services20 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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37312 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers22 claims2,640 services$6.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES L MARCUM MD

Internal Medicine (Cardiovascular Disease)

400 BERYWOOD TRL NW, SUITE A
CLEVELAND, TN 37312

Bradley County (423) 697-2000

EDWARD M MCINTIRE JR. M.D.

Urology

400 BERYWOOD TRL NW, SUITE B
CLEVELAND, TN 37312

Bradley County (423) 472-3201

DR. ROBERT J MILLS MD

Internal Medicine (Cardiovascular Disease)

400 BERYWOOD TRL NW, SUITE A
CLEVELAND, TN 37312

Bradley County (423) 697-2000

DR. BRIAN C MITCHELL MD

Internal Medicine (Cardiovascular Disease)

400 BERYWOOD TRL NW, SUITE A
CLEVELAND, TN 37312

Bradley County (423) 697-2000

TENNESSEE VALLEY UROLOGY CENTER PC

Urology

400 BERYWOOD TRL NW, STE B
CLEVELAND, TN 37312

Bradley County (423) 472-3201

DR. JOSEPH K POWERS MD

Internal Medicine (Cardiovascular Disease)

400 BERYWOOD TRL NW, SUITE A
CLEVELAND, TN 37312

Bradley County (423) 697-2000

DR. CHRISTOPHER C THACKER M.D.

Urology

400 BERYWOOD TRL NW, SUITE B
CLEVELAND, TN 37312

Bradley County (423) 472-3201

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 Stephen Jackson's NPI number?

The NPI number for Stephen Jackson is 1386609808. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Stephen Jackson located?

Stephen Jackson practices at 400 Berywood Trl NW Suite B, Cleveland, TN 37312. The listed phone number is (423) 472-3201.

What is Stephen Jackson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stephen Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Stephen Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Jackson reassigns Medicare benefits to 3 organizations: Tennessee Valley Urology Center PC (Cleveland, TN), Methodist Medical Center Of Illinois (Peoria, IL) and Gundersen Lutheran Medical Center Inc (Milwaukee, WI). 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 Stephen 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 Stephen Jackson was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.