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CAROL MACKENZIE JACKSON PA-C
NPI 1457567265
Physician Assistant in Philadelphia, PA

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
333 COTTMAN AVE, PHILADELPHIA, PA 19111(215) 728-6900(215) 728-2773 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Mackenzie Jackson Pa-c NPPES

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

CAROL MACKENZIE JACKSON PA-C (NPI 1457567265) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052046) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457567265
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROL MACKENZIE JACKSONCredential: PA-C
Location Address333 COTTMAN AVEPhiladelphia, PA 19111-2434
Mailing Address3500 N. Broad St. Room 001aPhiladelphia, PA 19140-4106 · (215) 926-9022
Phone(215) 728-6900
Fax(215) 728-2773
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 16, 2007
Last NPPES UpdateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
✔ NPI 1457567265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA052046
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
333 COTTMAN AVE, Philadelphia, PA 19111
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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

Carol Mackenzie Jackson Pa-c 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 ID5496797987
PECOS Enrollment IDI20050525000295
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.

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

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.

FOX CHASE CANCER CENTER MEDICAL GROUP, INC.
Anesthesiology
333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
JAMES SUN MD
Surgery (Surgical Oncology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 854-9799
MS. MALA T KAILASAM MD
Internal Medicine
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
HEALTH SERVICES OF FOX CHASE CANCER CTR.
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
ELENA DREYZIN PA-C
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (888) 369-2427
FREWEINI TESFALEDET PA
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
MARIUSZ A WASIK MD
Pathology (Anatomic Pathology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-3675
DR. BARBARA C. CAVANAUGH M.D.
Radiology (Diagnostic Radiology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-3883

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 Carol Jackson's NPI number?

The NPI number for Carol Jackson is 1457567265. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Carol Jackson located?

Carol Jackson practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 728-6900.

What is Carol Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carol Jackson enrolled in Medicare?

Yes. Carol 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.

Is Carol Jackson affiliated with any hospitals?

According to CMS data, Carol Jackson is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Carol Jackson was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.