DR. ALAN E. JACKSON M.D.
NPI 1467411223
Ophthalmology in Salt Lake City, UT

Q: What is Alan Jackson's NPI number?

The NPI number for Alan Jackson is 1467411223. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Q: What is Alan Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alan Jackson was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 21, 2006PECOS Enrolled

0/100

CMS Quality Rating

201 E 5900 S, SUITE 101, SALT LAKE CITY, UT 84107(801) 268-6600(801) 268-6602 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Alan E. Jackson M.d. NPPES

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

DR. ALAN E. JACKSON M.D. (NPI 1467411223) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in Utah (185984-1205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467411223

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. ALAN E. JACKSONCredential: M.D.

Location Address201 E 5900 S, SUITE 101Salt Lake City, UT 84107-7379

Mailing Address201 E 5900 S, Suite 101Salt Lake City, UT 84107-7379 · (801) 268-6600 · Fax (801) 268-6602

Phone(801) 268-6600

Fax(801) 268-6602

Sole ProprietorYes

Enumeration DateMarch 21, 2006

Last NPPES UpdateOctober 5, 2011

✔ NPI 1467411223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in UT · 185984-1205

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.

201 E 5900 S, Salt Lake City, UT 84107

Open in Google Maps ↗

Other Identifiers 1

Medicare UPING77437UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alan E. Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Alan Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cottonwood Eye And Laser Center

0.7 mi

Ophthalmology

201 E. 5900 S., STE 101
Murray, UT 84107

Reassigned Medicare billing, Utah enrollment
4 clinicians in this Medicare group

NPI 1952623712 (801) 268-6600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

291 services246 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.

33 services33 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).

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%83 patients5/55-star benchmark: 100%

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 10

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

ROBERT P WOOLDRIDGE O.D. PC

Optometrist

201 E 5900 S, #201
MURRAY, UT 84107

Salt Lake County (801) 268-6408

KARA RENEE REYNOLDS O.D.

Optometrist

201 E 5900 S, SUITE 201
MURRAY, UT 84107

Salt Lake County (801) 268-6408

EYE CARE GROUP OF UTAH LC

Specialist

201 E 5900 S, SUITE 201
MURRAY, UT 84107

Salt Lake County (801) 268-6408

MR. STEVEN TAYLOR JACKSON MD

Ophthalmology

201 E 5900 S, STE 101
SALT LAKE CITY, UT 84107

Salt Lake County (801) 268-6600

KATHERINE ANTONIA KENAL MD

Preventive Medicine (Occupational Medicine)

201 E 5900 S
MURRAY, UT 84107

Salt Lake County (801) 288-4904

REESE JOHN RICHARDS OPTICIAN

Technician/Technologist (Optician)

201 E 5900 S, SUITE 101
SALT LAKE CITY, UT 84107

Salt Lake County (801) 266-2020

CLEARVIEW OPTICAL INC

Eyewear Supplier

201 E 5900 S, SUITE 101
MURRAY, UT 84107

Salt Lake County (801) 266-2020

DR. MIKE MITCHELL O.D.

Optometrist

201 E 5900 S, SUITE 101
SALT LAKE CITY, UT 84107

Salt Lake County (801) 268-6600

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 Alan Jackson's NPI number?

The NPI number for Alan Jackson is 1467411223. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Alan Jackson located?

Alan Jackson practices at 201 E 5900 S Suite 101, Salt Lake City, UT 84107. The listed phone number is (801) 268-6600.

What is Alan Jackson's specialty?

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

Is Alan Jackson enrolled in Medicare?

Yes. Alan Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alan Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Jackson reassigns Medicare benefits to Cottonwood Eye And Laser Center (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alan Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alan Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Alan 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 Alan Jackson was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.