REBECCA JACKSON M.D.
NPI 1619934502
Obstetrics & Gynecology in Philadelphia, PA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
834 CHESTNUT ST, SUITE 420, PHILADELPHIA, PA 19107(215) 955-6776(215) 955-4020 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebecca Jackson M.d. NPPES

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

REBECCA JACKSON M.D. (NPI 1619934502) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD422220) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Vanderbilt University School Of Medicine (1999).

NPPES Registry Identity

NPI1619934502
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameREBECCA JACKSONCredential: M.D.
Location Address834 CHESTNUT ST, SUITE 420Philadelphia, PA 19107-5127
Mailing Address834 Chestnut St, Suite 420Philadelphia, PA 19107-5127
Fax(215) 955-4020
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1999
Enumeration DateApril 26, 2006
Last NPPES UpdateNovember 18, 2013
NPI 1619934502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD422220
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
834 CHESTNUT ST, Philadelphia, PA 19107

Other Names 1

Former Name (1)Rebecca Gould M.d.

Other Identifiers 4

Medicare UPINH90789PA
Medicaid0004588NJ
Medicaid001960192PA
Medicare PIN071964PA

Accepted 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

Rebecca 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 ID9931115250
PECOS Enrollment IDI20060223000640
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Psychiatry & Neurology (Psychiatry)
834 CHESTNUT ST, SUITE T-140
PHILADELPHIA, PA 19107
Occupational Therapist (Hand)
834 CHESTNUT ST, SUITE G114
PHILADELPHIA, PA 19107
Dentist (Orthodontics and Dentofacial Orthopedics)
834 CHESTNUT ST, SUITE M209
PHILADELPHIA, PA 19107
Nurse Practitioner
834 CHESTNUT ST, SUITE 300
PHILADELPHIA, PA 19107
Pediatrics
834 CHESTNUT ST, SUITE 306
PHILADELPHIA, PA 19107
Obstetrics & Gynecology (Maternal & Fetal Medicine)
834 CHESTNUT ST, SUITE 300
PHILADELPHIA, PA 19107
Obstetrics & Gynecology (Maternal & Fetal Medicine)
834 CHESTNUT ST, SUITE 420
PHILADELPHIA, PA 19107
Durable Medical Equipment & Medical Supplies (Customized Equipment)
834 CHESTNUT ST, SUITE G114
PHILADELPHIA, PA 19107

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 Rebecca Jackson's NPI number?

The NPI number for Rebecca Jackson is 1619934502. It was assigned to this individual provider in the NPPES registry on April 26, 2006. The provider is also known as Rebecca Gould M.D..

Where is Rebecca Jackson located?

Rebecca Jackson practices at 834 Chestnut St Suite 420, Philadelphia, PA 19107. The listed phone number is (215) 955-6776.

What is Rebecca Jackson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rebecca Jackson enrolled in Medicare?

Yes. Rebecca 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 Rebecca Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Rebecca 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 Rebecca Jackson affiliated with any hospitals?

According to CMS data, Rebecca Jackson is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Jackson was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.