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JACKSON WALTER DEERE MD
NPI 1497311369
Otolaryngology in North Logan, UT

Active since May 15, 2019PECOS EnrolledAccepts Medicare Assignment
2245 N 400 E STE 301, NORTH LOGAN, UT 84341(435) 753-7880(435) 753-5845 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, May 15, 2019 (2 updates tracked since 2019).

About Jackson Walter Deere Md NPPES

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

JACKSON WALTER DEERE MD (NPI 1497311369) is an individual otolaryngology provider in North Logan, Utah, licensed in Utah (13768482-1205) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1497311369
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJACKSON WALTER DEERECredential: MD
Location Address2245 N 400 E STE 301North Logan, UT 84341-1892
Mailing Address2245 N 400 E Ste 301North Logan, UT 84341-1892 · (435) 753-7880 · Fax (435) 753-5845
Phone(435) 753-7880
Fax(435) 753-5845
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2019
Enumeration DateMay 15, 2019
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1497311369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in UT · 13768482-1205
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2245 N 400 E STE 301, North Logan, UT 84341
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Secondary Practice Location 1

Location 1200 Hawkins Dr Dept OfIowa City, IA 52242-1009 · Phone (319) 356-2201 · Fax (319) 356-4547

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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 and accepts Medicare assignment

Jackson Walter Deere 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 ID5294060109
PECOS Enrollment IDI20240710002762
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 Jackson Deere reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cache Valley Ear Nose & Throat, PLLC
0.9 mi
Plastic Surgery within the Head & Neck
2245 N 400 E, STE 301
North Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 4 clinicians in this Medicare group
NPI 1548303795 (435) 753-7880

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 8

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 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.
49 services39 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
31 services15 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
24 services19 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
23 services22 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
21 services11 patients
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.
21 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT
OwnershipProprietary
CMS Certification Number460054
Location2380 North 400 EastNorth Logan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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.

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 Jackson Deere's NPI number?

The NPI number for Jackson Deere is 1497311369. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Jackson Deere located?

Jackson Deere practices at 2245 N 400 E Ste 301, North Logan, UT 84341. The listed phone number is (435) 753-7880.

What is Jackson Deere's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jackson Deere enrolled in Medicare?

Yes. Jackson Deere 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.

Which organization bills Medicare for Jackson Deere's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Deere reassigns Medicare benefits to Cache Valley Ear Nose & Throat, PLLC (North Logan, 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 Jackson Deere's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Deere accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jackson Deere 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 Jackson Deere affiliated with any hospitals?

According to CMS data, Jackson Deere is affiliated with Logan Regional Hospital and Cache Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jackson Deere was last updated on August 9, 2024. 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.