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DR. KIMBERLY NICOLE JACKSON D.O.
NPI 1447536370
Family Medicine in Warren, OH

Active since October 24, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2581 NORTH RD NE, WARREN, OH 44483(234) 287-6802(330) 372-4437 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Sep 29, 2021, Sep 6, 2019 (3 updates tracked since 2019).

About Dr. Kimberly Nicole Jackson D.o. NPPES

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

DR. KIMBERLY NICOLE JACKSON D.O. (NPI 1447536370) is an individual family medicine provider in Warren, Ohio, licensed in Ohio (34.011422) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Surgical Hospital At Southwoods, and is a graduate of Ohio University, College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1447536370
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY NICOLE JACKSONCredential: D.O.
Location Address2581 NORTH RD NEWarren, OH 44483-3052
Mailing AddressPo Box 645409Pittsburgh, PA 15264-5252 · (330) 386-6442 · Fax (330) 386-3660
Phone(234) 287-6802
Fax(330) 372-4437
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2011
Enumeration DateOctober 24, 2011
Last NPPES UpdateSeptember 27, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
✔ NPI 1447536370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.011422
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.
2581 NORTH RD NE, Warren, OH 44483
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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. Kimberly Nicole Jackson D.o. 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 ID3870711526
PECOS Enrollment IDI20140821002469
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 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 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.
183 services129 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.
111 services90 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
68 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
32 services21 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.
25 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44483 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%22 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%95 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%5,669 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%355 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%318 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%1,093 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%86 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%1,093 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%1,093 patients3/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims28 services$5.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$103.07 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 8

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

DR. EDWARD GLENN MYERS D.O.
Family Medicine
2581 NORTH RD NE
WARREN, OH 44483
Trumbull County (330) 372-5200
MARIA FIALA
Physical Therapist
2581 NORTH RD NE
WARREN, OH 44483
Trumbull County (330) 372-5800
DR. WEIQING GE PT, DPT
Physical Therapist
2581 NORTH RD NE
WARREN, OH 44483
Trumbull County (330) 372-5800
EDWARD G MYERS DO INC
Family Medicine
2581 NORTH RD NE
WARREN, OH 44483
Trumbull County (330) 372-5200
DONALD L DOWNING DPT
Physical Therapist
2581 NORTH RD NE, SUITE A
WARREN, OH 44483
Trumbull County (330) 372-5800
ESCHMAN PHYSICAL THERAPY, LLC
Clinic/Center (Physical Therapy)
2581 NORTH RD NE, SUITE A
WARREN, OH 44483
Trumbull County (330) 372-5800
MR. JOSEPH M ESCHMAN
Physical Therapist (Geriatrics)
2581 NORTH RD NE, SUITE A
WARREN, OH 44483
Trumbull County (330) 372-5800
MRS. DONNA E KAISER MSN, APRN, NP-C
Nurse Practitioner (Adult Health)
2581 NORTH RD NE
WARREN, OH 44483
Trumbull County (330) 750-1333

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1447536370. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 2581 North Rd NE, Warren, OH 44483. The listed phone number is (234) 287-6802.

What is Kimberly Jackson's specialty?

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

Is Kimberly Jackson enrolled in Medicare?

Yes. Kimberly 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 Kimberly Jackson accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Kimberly 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.

Is Kimberly Jackson affiliated with any hospitals?

According to CMS data, Kimberly Jackson is affiliated with Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.