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HORACE J JACKSON MD
NPI 1669407003
Internal Medicine - Gastroenterology in Richmond, VA

Active since July 12, 2006PECOS Enrolled
505 W LEIGH STREET, SUITE 207, RICHMOND, VA 23220(804) 788-0556(804) 788-1141 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Horace J Jackson Md NPPES

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

HORACE J JACKSON MD (NPI 1669407003) is an individual gastroenterology provider in Richmond, Virginia, licensed in Virginia (0101035670) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Memorial Regional Medical Center, and is a graduate of Howard University College Of Medicine (1976).

NPPES Registry Identity

NPI1669407003
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHORACE J JACKSONCredential: MD
Location Address505 W LEIGH STREET, SUITE 207Richmond, VA 23220
Mailing Address505 W Leigh Street, Suite 207Richmond, VA 23220 · (804) 788-0556 · Fax (804) 788-1141
Phone(804) 788-0556
Fax(804) 788-1141
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1976
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 29, 2007
✔ NPI 1669407003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in VA · 0101035670
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
505 W LEIGH STREET, Richmond, VA 23220
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINB09238
Other006954VA · Anthem Bs
Medicaid006049656VA
Medicare PIN110000329VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Horace J Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951478569
PECOS Enrollment IDI20080924000202
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 Horace Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clark Alliance Services Inc
84 mi
Internal Medicine
2501 PARKERS LN FL 4
Alexandria, VA 22306
  • Reassigned Medicare billing, Virginia enrollment
  • 52 clinicians in this Medicare group
NPI 1952892028 (703) 664-7000
Vibra Physicians LLC
1,489 mi
Hospitalist
4401 UNION ST
Johnstown, CO 80534
  • Reassigned Medicare billing, Virginia enrollment
  • 88 clinicians in this Medicare group
NPI 1659705424 (970) 278-9340

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

Areas of Expertise CMS Part B claims 8

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
356 services86 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.
187 services84 patients
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.
88 services38 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.
81 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23220 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%86 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

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
1 supplier16 claims496 services$4.39 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$214.59 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 5

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

DR. LORNEL G TOMPKINS MD
Internal Medicine (Pulmonary Disease)
505 W LEIGH STREET, SUITE 207
RICHMOND, VA 23220
Richmond City (804) 788-0556
LORNEL G TOMPKINS MD PC
Internal Medicine (Pulmonary Disease)
505 W LEIGH STREET, SUITE 207
RICHMOND, VA 23220
Richmond City (804) 788-0556
COMMONWEALTH CARDIOLOGY ASSOCIATES LTD
Internal Medicine (Cardiovascular Disease)
505 W LEIGH STREET, SUITE 205
RICHMOND, VA 23220
Richmond City (804) 788-0004
HORACE J JACKSON MD PC
Internal Medicine (Gastroenterology)
505 W LEIGH STREET, SUITE 207
RICHMOND, VA 23220
Richmond City (804) 788-0556
DR. GEORGE A TEEKAH MD
Internal Medicine (Pulmonary Disease)
505 W LEIGH STREET, SUITE 207
RICHMOND, VA 23220
Richmond City (804) 788-0556

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 Horace Jackson's NPI number?

The NPI number for Horace Jackson is 1669407003. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Horace Jackson located?

Horace Jackson practices at 505 W Leigh Street Suite 207, Richmond, VA 23220. The listed phone number is (804) 788-0556.

What is Horace Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Horace Jackson enrolled in Medicare?

Yes. Horace Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Horace Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Horace Jackson reassigns Medicare benefits to 2 organizations: Clark Alliance Services Inc (Alexandria, VA) and Vibra Physicians LLC (Johnstown, CO). 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 Horace Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Horace Jackson affiliated with any hospitals?

According to CMS data, Horace Jackson is affiliated with Bon Secours Memorial Regional Medical Center, Vcu Health Tappahannock Hospital and Bon Secours Richmond Community Hospital.

When was this NPI record last updated?

The NPPES record for Horace Jackson was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.