THOMAS MILES JACKSON MD
NPI 1598765083
Surgery in La Junta, CO

Q: What is Thomas Jackson's NPI number?

The NPI number for Thomas Jackson is 1598765083. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Thomas Jackson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Jackson was last updated on May 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment

2201 SAN JUAN AVE, LA JUNTA, CO 81050(719) 384-8181(719) 384-4872 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas Miles Jackson Md NPPES

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

THOMAS MILES JACKSON MD (NPI 1598765083) is an individual surgery provider in La Junta, Colorado, licensed in Colorado (DR48817) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1984).

NPPES Registry Identity

NPI1598765083

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTHOMAS MILES JACKSONCredential: MD

Location Address2201 SAN JUAN AVELa Junta, CO 81050-3323

Mailing Address1100 Carson AveLa Junta, CO 81050-2751 · (719) 383-5142 · Fax (719) 383-5140

Phone(719) 384-8181

Fax(719) 384-4872

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1984

Enumeration DateJuly 26, 2005

Last NPPES UpdateMay 12, 2010

✔ NPI 1598765083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in CO · DR48817✔ Licensed in KS · 04-21320✔ Licensed in AK · 5568

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2201 SAN JUAN AVE, La Junta, CO 81050

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Other Identifiers 3

Medicare ID-Type Unspecified52680KS

Medicare UPINE35174

Medicaid100131110BKS

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

Thomas Miles Jackson 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 ID1951341288

PECOS Enrollment IDI20100811000358

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81050 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 7

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

MRS. VERNICE ANN R BAUTISTA P.A.-C

Physician Assistant