DR. DAVID BRADLEY JACKSON DO
NPI 1568091643
Internal Medicine - Critical Care Medicine in Albuquerque, NM

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
MSC INTERNAL MEDICINE 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4661 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2026, Apr 23, 2026, Jun 18, 2025 and 4 more (7 updates tracked since 2020).

About Dr. David Bradley Jackson Do NPPES

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

DR. DAVID BRADLEY JACKSON DO (NPI 1568091643) is an individual critical care medicine provider in Albuquerque, New Mexico, licensed in Utah (8269149-1204) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1568091643
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. DAVID BRADLEY JACKSONCredential: DO
Location AddressMSC INTERNAL MEDICINE 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateMay 14, 20267 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1568091643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in UT · 8269149-1204
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License DO2023-1106 (NM)
Also ListedHospitalistTaxonomy 208M00000X · License DO2023-1106 (NM)
MSC INTERNAL MEDICINE 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Secondary Practice Location 1

Location 11034 N 500 WProvo, UT 84604-3380 · Phone (801) 357-7291

Accepted 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

Dr. David Bradley Jackson Do 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 ID4587080510
PECOS Enrollment IDI20240514001588, I20260702002454
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 Reassignments

2

Medicare enrollment records show David Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
Family Medicine
535 S MAIN ST
Monroe, UT 84754
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 David Jackson's NPI number?

The NPI number for David Jackson is 1568091643. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is David Jackson located?

David Jackson practices at Msc Internal Medicine 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is David Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is David Jackson enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Jackson reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Ihc Health Services Inc (Monroe, UT). Each 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 David Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Jackson accept?

Health plans from Select Health list David 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 David Jackson affiliated with any hospitals?

According to CMS data, David Jackson is affiliated with Unm Hospital and Utah Valley Hospital.

When was this NPI record last updated?

The NPPES record for David Jackson was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.