RANDY JACKSON JR. MD
NPI 1437681301
Family Medicine in San Francisco, CA

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
91.85/100
CMS Quality Rating
995 POTRERO AVE, SAN FRANCISCO, CA 94110(628) 206-5252 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2025, Mar 30, 2017 (2 updates tracked since 2017).

About Randy Jackson Jr. Md NPPES

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

RANDY JACKSON JR. MD (NPI 1437681301) is an individual family medicine provider in San Francisco, California, licensed in California (A169485) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1437681301
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDY JACKSON JR.Credential: MD
Location Address995 POTRERO AVESan Francisco, CA 94110-2859
Mailing Address995 Potrero AveSan Francisco, CA 94110-2859 · (628) 206-5252
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
NPI 1437681301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A169485
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.
995 POTRERO AVE, San Francisco, CA 94110

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

Randy Jackson Jr. 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 ID3779858428
PECOS Enrollment IDI20200824002883
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability100
Improvement Activities40
Cost68.01

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.

Counselor (Mental Health)
995 POTRERO AVE
SAN FRANCISCO, CA 94110
Registered Nurse (Psychiatric/Mental Health, Adult)
995 POTRERO AVE
SAN FRANCISCO, CA 94110
Family Medicine
995 POTRERO AVE, WARD 83
SAN FRANCISCO, CA 94110
Internal Medicine
995 POTRERO AVE, BUILDING 80, 6TH FLOOD
SAN FRANCISCO, CA 94110
Nurse Practitioner (Family)
995 POTRERO AVE
SAN FRANCISCO, CA 94110
Internal Medicine (Hematology & Oncology)
995 POTRERO AVE, BUILDING 80, WARD 86
SAN FRANCISCO, CA 94110
Marriage & Family Therapist
995 POTRERO AVE, BUILDING 90, 3RD FLOOR
SAN FRANCISCO, CA 94110
Community Health Worker
995 POTRERO AVE
SAN FRANCISCO, CA 94110

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 Randy Jackson's NPI number?

The NPI number for Randy Jackson is 1437681301. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Randy Jackson located?

Randy Jackson practices at 995 Potrero Ave, San Francisco, CA 94110. The listed phone number is (628) 206-5252.

What is Randy Jackson's specialty?

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

Is Randy Jackson enrolled in Medicare?

Yes. Randy 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.

When was this NPI record last updated?

The NPPES record for Randy Jackson was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.