DR. AUTUMN H JACKSON OD
NPI 1477739100
Optometrist in Middletown, RI

Active since January 11, 2008PECOS EnrolledAccepts Medicare Assignment
99.5/100
CMS Quality Rating
73 VALLEY RD, MIDDLETOWN, RI 02842(401) 847-1040(401) 847-1049 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2022, Jan 8, 2020 (2 updates tracked since 2020).

About Dr. Autumn H Jackson Od NPPES

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

DR. AUTUMN H JACKSON OD (NPI 1477739100) is an individual optometrist in Middletown, Rhode Island, licensed in Rhode Island (ODTA00538) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2006).

NPPES Registry Identity

NPI1477739100
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AUTUMN H JACKSONCredential: OD
Location Address73 VALLEY RDMiddletown, RI 02842-5234
Mailing Address73 Valley RdMiddletown, RI 02842-5234 · (401) 847-1040 · Fax (401) 847-1049
Fax(401) 847-1049
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2006
Enumeration DateJanuary 11, 2008
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1477739100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in RI · ODTA00538 Licensed in MA · 4642
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

73 VALLEY RD, Middletown, RI 02842

Other Identifiers 2

Medicaid0718769MA
MedicaidAJ73813RI

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. Autumn H Jackson Od 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 ID3779667563
PECOS Enrollment IDI20081119000917
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 7

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.
286 services279 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.
100 services74 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
74 services73 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).
40 services36 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
33 services33 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.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02842 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

99.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.01
Improvement Activities40

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.

Eyewear Supplier
73 VALLEY RD
MIDDLETOWN, RI 02842
Technician/Technologist (Optician)
73 VALLEY RD
MIDDLETOWN, RI 02842
Technician/Technologist (Optician)
73 VALLEY RD
MIDDLETOWN, RI 02842
Eyewear Supplier
73 VALLEY RD
MIDDLETOWN, RI 02842
Physical Therapist
73 VALLEY RD
MIDDLETOWN, RI 02842
Optometrist
73 VALLEY RD
MIDDLETOWN, RI 02842
Eyewear Supplier
73 VALLEY RD
MIDDLETOWN, RI 02842
Physical Therapist
73 VALLEY RD
MIDDLETOWN, RI 02842

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 Autumn Jackson's NPI number?

The NPI number for Autumn Jackson is 1477739100. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Autumn Jackson located?

Autumn Jackson practices at 73 Valley Rd, Middletown, RI 02842. The listed phone number is (401) 847-1040.

What is Autumn Jackson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Autumn Jackson enrolled in Medicare?

Yes. Autumn 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 Autumn Jackson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Autumn 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 Autumn Jackson was last updated on September 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.