DR. GAVIN N JACKSON M.D.
NPI 1609033182
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Diego, CA

Q: What is Gavin Jackson's NPI number?

The NPI number for Gavin Jackson is 1609033182. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Q: What is Gavin Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Gavin Jackson was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 21, 2008PECOS EnrolledAccepts Medicare Assignment

4077 5TH AVE, MER35, SAN DIEGO, CA 92103(619) 260-7122(619) 260-7305 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Gavin N Jackson M.d. NPPES

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

DR. GAVIN N JACKSON M.D. (NPI 1609033182) is an individual endocrinology, diabetes & metabolism provider in San Diego, California, licensed in California (A110647) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2008).

NPPES Registry Identity

NPI1609033182

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. GAVIN N JACKSONCredential: M.D.

Location Address4077 5TH AVE, MER35San Diego, CA 92103-2105

Mailing Address4077 5th Ave, Mer35San Diego, CA 92103-2105 · (619) 260-7122 · Fax (619) 260-7305

Phone(619) 260-7122

Fax(619) 260-7305

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2008

Enumeration DateMay 21, 2008

Last NPPES UpdateJanuary 29, 2015

✔ NPI 1609033182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in CA · A110647

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

4077 5TH AVE, San Diego, CA 92103

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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. Gavin N 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 ID1850533779

PECOS Enrollment IDI20150303002438

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 2

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

92 services35 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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.

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.

DR. GERALDINE MARIE CROWLE PH.D.

Psychologist (Clinical)

4077 5TH AVE, BEHAVIORAL HEALTH OUTPATIENT - LEVEL D
SAN DIEGO, CA 92103

San Diego County (619) 260-7066

JOSEPH ARTHUR ANDERSON PHARMD

Pharmacist

4077 5TH AVE
SAN DIEGO, CA 92103

San Diego County (858) 832-2478

REJOYCE T STEFANIUK

Nurse Practitioner (Primary Care)

4077 5TH AVE
SAN DIEGO, CA 92103

San Diego County (773) 219-4453

JOSEPH SAM KAZANCHI MD

Hospitalist

4077 5TH AVE, MER 127
SAN DIEGO, CA 92103

San Diego County (619) 484-8573

RIMA SCHNEIDER DPT

Physical Therapist

4077 5TH AVE
SAN DIEGO, CA 92103

San Diego County (858) 832-2478

MAGGIE FRYE

Nurse Practitioner (Adult Health)

4077 5TH AVE
SAN DIEGO, CA 92103

San Diego County (196) 868-3800

KAREN VIRGINIA MORGAN M.D

Emergency Medicine

4077 5TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 260-7000

MR. PAUL JAMES DEMEULES LCSW

Social Worker (Clinical)

4077 5TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 260-7066

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 Gavin Jackson's NPI number?

The NPI number for Gavin Jackson is 1609033182. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Gavin Jackson located?

Gavin Jackson practices at 4077 5th Ave Mer35, San Diego, CA 92103. The listed phone number is (619) 260-7122.

What is Gavin Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Gavin Jackson enrolled in Medicare?

Yes. Gavin 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 Gavin Jackson was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.