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DR. COLE JACKSON HOUSTON MD
NPI 1396036463
Family Medicine in San Diego, CA

Active since April 25, 2011PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
4033 3RD AVE STE 400, SAN DIEGO, CA 92103(888) 883-8658(888) 606-1317 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2020, Jun 28, 2020, Dec 27, 2016 (3 updates tracked since 2016).

About Dr. Cole Jackson Houston Md NPPES

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

DR. COLE JACKSON HOUSTON MD (NPI 1396036463) is an individual family medicine provider in San Diego, California, licensed in California (148047) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396036463
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. COLE JACKSON HOUSTONCredential: MD
Location Address4033 3RD AVE STE 400San Diego, CA 92103-2140
Mailing Address4033 3rd Ave Ste 400San Diego, CA 92103-2140 · (888) 883-8658 · Fax (888) 606-1317
Phone(888) 883-8658
Fax(888) 606-1317
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 25, 2011
Last NPPES UpdateJuly 2, 20203 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
✔ NPI 1396036463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 148047✔ Licensed in TN · 51823
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 51823 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4033 3RD AVE STE 400, San Diego, CA 92103
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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. Cole Jackson Houston Md 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 ID6002062908
PECOS Enrollment IDI20170512001204
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
113 services98 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
102 services79 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
40 services39 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
22 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES

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

C HOUSTON, INC
Family Medicine
4033 3RD AVE STE 400
SAN DIEGO, CA 92103
San Diego County (888) 883-8658

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 Cole Houston's NPI number?

The NPI number for Cole Houston is 1396036463. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Cole Houston located?

Cole Houston practices at 4033 3rd Ave Ste 400, San Diego, CA 92103. The listed phone number is (888) 883-8658.

What is Cole Houston's specialty?

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

Is Cole Houston enrolled in Medicare?

Yes. Cole Houston 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.

When was this NPI record last updated?

The NPPES record for Cole Houston was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.