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DR. BLAINE KENTON JACKSON M.D.
NPI 1518079565
Internal Medicine in Solana Beach, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
773 ACADEMY DR, SOLANA BEACH, CA 92075(858) 259-9708(858) 259-9689 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Blaine Kenton Jackson M.d. NPPES

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

DR. BLAINE KENTON JACKSON M.D. (NPI 1518079565) is an individual internal medicine provider in Solana Beach, California, licensed in California (A67288) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Solana Beach, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1518079565
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BLAINE KENTON JACKSONCredential: M.D.
Location Address773 ACADEMY DRSolana Beach, CA 92075
Mailing Address773 Academy DrSolana Beach, CA 92075-2031 · (858) 259-9708 · Fax (858) 259-9689
Phone(858) 259-9708
Fax(858) 259-9689
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 23, 2018
✔ NPI 1518079565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A67288
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
773 ACADEMY DR, Solana Beach, CA 92075
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Secondary Practice Location 1

Location 1530 Lomas Santa Fe Dr, Suite MSolana Beach, CA 92075-1349 · Phone (858) 259-9708 · Fax (858) 259-9689

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. Blaine Kenton 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 ID6406813369
PECOS Enrollment IDI20041213000891
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 12

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
516 services170 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
155 services131 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.
146 services43 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
124 services105 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
105 services97 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
102 services93 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92075 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
4 suppliers40 claims40 services$24.48 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers35 claims38 services$9.19 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers19 claims548 services$4.08 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers16 claims7,655 services$0.32 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims12 services$35.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims20 services$13.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JEFFREY ALAN IVERSON FNP
Nurse Practitioner (Family)
773 ACADEMY DR
SOLANA BEACH, CA 92075
San Diego County (951) 323-6463
STEVEN EMMET M.D.
Dermatology
773 ACADEMY DR
SOLANA BEACH, CA 92075
San Diego County (858) 481-8833
STEVEN D. EMMET M.D. INC
Specialist
773 ACADEMY DR
SOLANA BEACH, CA 92075
San Diego County (858) 481-8833

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 Blaine Jackson's NPI number?

The NPI number for Blaine Jackson is 1518079565. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Blaine Jackson located?

Blaine Jackson practices at 773 Academy Dr, Solana Beach, CA 92075. The listed phone number is (858) 259-9708.

What is Blaine Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Blaine Jackson enrolled in Medicare?

Yes. Blaine 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.

When was this NPI record last updated?

The NPPES record for Blaine Jackson was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.