VADEAN L. JACKSON M.D.
NPI 1699875336
Family Medicine in San Antonio, TX

Q: What is Vadean Jackson's NPI number?

The NPI number for Vadean Jackson is 1699875336. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Q: What is Vadean Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Vadean Jackson was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 23, 2006PECOS EnrolledAccepts Medicare Assignment

4438 CENTERVIEW, SAN ANTONIO, TX 78228(210) 280-0040(210) 280-0060 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vadean L. Jackson M.d. NPPES

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

VADEAN L. JACKSON M.D. (NPI 1699875336) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (M4199) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1699875336

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVADEAN L. JACKSONCredential: M.D.

Location Address4438 CENTERVIEWSan Antonio, TX 78228-1440

Mailing Address4438 CenterviewSan Antonio, TX 78228-1440 · (210) 280-0040 · Fax (210) 280-0060

Phone(210) 280-0040

Fax(210) 280-0060

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateSeptember 23, 2006

Last NPPES UpdateOctober 17, 2016

✔ NPI 1699875336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · M4199

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4438 CENTERVIEW, San Antonio, TX 78228

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Other Identifiers 3

OtherTXB153202TX · Wellmed Medicare

Other192732902TX · Wellmed Medicaid

Medicare PIN8J3803TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Vadean L. 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 ID5294831095

PECOS Enrollment IDI20070510000200

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

42 services24 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.

36 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78228 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$13.64 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$58.54 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 15

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

MR. ROLANDO XAVIER RAMIREZ PA-C, MPAS

Physician Assistant (Medical)