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PETER ROMNEY JACKSON M.D.
NPI 1508150467
Psychiatry & Neurology - Psychiatry in Burlington, VT

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
1 S PROSPECT ST, BURLINGTON, VT 05401(802) 847-3333 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 1, 2024, Mar 17, 2018, Aug 11, 2017 (3 updates tracked since 2017).

About Peter Romney Jackson M.d. NPPES

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

PETER ROMNEY JACKSON M.D. (NPI 1508150467) is an individual psychiatry provider in Burlington, Vermont, licensed in Vermont (042-0013818) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains a secondary practice location in Plattsburgh.

NPPES Registry Identity

NPI1508150467
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePETER ROMNEY JACKSONCredential: M.D.
Location Address1 S PROSPECT STBurlington, VT 05401-3456
Mailing Address75 Beekman StPlattsburgh, NY 12901
Phone(802) 847-3333
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2011
Enumeration DateJune 7, 2011
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1508150467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in VT · 042-0013818✔ Licensed in NY · 290034
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1 S PROSPECT ST, Burlington, VT 05401
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Secondary Practice Location 1

Location 175 Beekman StPlattsburgh, NY 12901-1438 · Phone (518) 562-7790

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Peter Romney Jackson M.d. 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 ID749407971
PECOS Enrollment IDI20170927002435, I20170928000286
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 2

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

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.

MRS. DESIREE DE WAAL R.D.
Dietitian, Registered (Nutrition, Renal)
1 S PROSPECT ST, UHC ARNOLD 2318, RENAL CLINIC
BURLINGTON, VT 05401
Chittenden County (802) 847-3203
REBECCA BURCH M.D.
Psychiatry & Neurology (Neurology)
1 S PROSPECT ST
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
JENIFER D'AIELLO LICSW
Social Worker (Clinical)
1 S PROSPECT ST
BURLINGTON, VT 05401
Chittenden County (802) 847-5331
DR. NILGUN TAPUCU ZIMAKAS M.D.
Pediatrics
1 S PROSPECT ST
BURLINGTON, VT 05401
Chittenden County (802) 847-4696
KATHERINE LACETTE
Counselor
1 S PROSPECT ST
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
JULIE ANNE FINNIGAN
Pharmacist
1 S PROSPECT ST
BURLINGTON, VT 05401
Chittenden County (802) 847-3784
LISA DEUEL BAKER MD
Psychiatry & Neurology (Neurology)
1 S PROSPECT ST
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
ELIZABETH SCHINDLER PERZANOWSKI MD
Pediatrics
1 S PROSPECT ST
BURLINGTON, VT 05401
Chittenden County (802) 847-4696

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 Peter Jackson's NPI number?

The NPI number for Peter Jackson is 1508150467. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Peter Jackson located?

Peter Jackson practices at 1 S Prospect St, Burlington, VT 05401. The listed phone number is (802) 847-3333.

What is Peter Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Peter Jackson enrolled in Medicare?

Yes. Peter 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 Peter Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Peter 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 Peter Jackson affiliated with any hospitals?

According to CMS data, Peter Jackson is affiliated with Champlain Valley Physicians Hospital Medical Ctr and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Peter Jackson was last updated on August 1, 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.