DR. JAMES LAWRENCE JACKSON M.D.
NPI 1427052091
Ophthalmology in Midland, MI

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
400 JOSEPH DR STE B, MIDLAND, MI 48642(989) 631-2020(989) 835-6686 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2022, Aug 7, 2018 (2 updates tracked since 2018).

About Dr. James Lawrence Jackson M.d. NPPES

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

DR. JAMES LAWRENCE JACKSON M.D. (NPI 1427052091) is an individual ophthalmology provider in Midland, Michigan, licensed in Michigan (4301050635) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1985).

NPPES Registry Identity

NPI1427052091
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES LAWRENCE JACKSONCredential: M.D.
Location Address400 JOSEPH DR STE BMidland, MI 48642-8636
Mailing Address400 Joseph Dr Ste BMidland, MI 48642-8636 · (989) 631-2020
Fax(989) 835-6686
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1985
Enumeration DateJune 10, 2005
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
NPI 1427052091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301050635
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

400 JOSEPH DR STE B, Midland, MI 48642

Other Identifiers 6

Other180032321MI · Railroad Medicare
Other1805601441MI · Bcbs
Other0256160001MI · Dmerc - Medicare
Other104430921MI · Medicaid (gladwin Office)
Other1427052091MI · Npi
Medicaid3103914MI

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. James Lawrence 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 ID7214978725
PECOS Enrollment IDI20100301000771
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 10

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 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.
379 services333 patients
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.
185 services125 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
128 services96 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
85 services79 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
80 services79 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.
77 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48642 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
97%154 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%76 patients5/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%152 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%382 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Ophthalmology
400 JOSEPH DR STE B
MIDLAND, MI 48642
Ophthalmology
400 JOSEPH DR STE B
MIDLAND, MI 48642

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 James Jackson's NPI number?

The NPI number for James Jackson is 1427052091. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is James Jackson located?

James Jackson practices at 400 Joseph Dr Ste B, Midland, MI 48642. The listed phone number is (989) 631-2020.

What is James Jackson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Jackson enrolled in Medicare?

Yes. James 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 James Jackson accept?

Health plans from Priority Health list James 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.

When was this NPI record last updated?

The NPPES record for James Jackson was last updated on February 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.