CAMILLE CATHERINE JACKSON M.D.
NPI 1700046943
Obstetrics & Gynecology - Gynecologic Oncology in Oklahoma City, OK

Q: What is Camille Jackson's NPI number?

The NPI number for Camille Jackson is 1700046943. It was assigned to this individual provider in the NPPES registry on June 11, 2008. The provider is also known as Camille Catherine Gunderson.

Q: What is Camille Jackson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Q: When was this NPI record last updated?

The NPPES record for Camille Jackson was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 11, 2008PECOS EnrolledAccepts Medicare Assignment

4401 MCAULEY BLVD STE 2200, OKLAHOMA CITY, OK 73120(405) 749-7023(405) 749-7025 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2021, Jan 9, 2020 (2 updates tracked since 2020).

On this page

About Camille Catherine Jackson M.d. NPPES

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

CAMILLE CATHERINE JACKSON M.D. (NPI 1700046943) is an individual gynecologic oncology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (28930) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2008).

NPPES Registry Identity

NPI1700046943

Entity TypeIndividualFemale

Primary Taxonomy207VX0201X

Provider Legal NameCAMILLE CATHERINE JACKSONCredential: M.D.

Location Address4401 MCAULEY BLVD STE 2200Oklahoma City, OK 73120-8561

Mailing Address4401 Mcauley Blvd Ste 2200Oklahoma City, OK 73120-8561 · (405) 749-7023 · Fax (405) 749-7025

Phone(405) 749-7023

Fax(405) 749-7025

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2008

Enumeration DateJune 11, 2008

Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration

NPPES CertifiedJuly 27, 2021

✔ NPI 1700046943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in OK · 28930

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

4401 MCAULEY BLVD STE 2200, Oklahoma City, OK 73120

Open in Google Maps ↗

Other Names 1

Former Name (1)Camille Catherine Gunderson

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Camille Catherine 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 ID7113232711

PECOS Enrollment IDI20150811005343

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

Medicare enrollment records show Camille Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Oklahoma Communities

0.1 mi

Family Medicine

4300 W MEMORIAL RD
Oklahoma City, OK 73120

Reassigned Medicare billing, Oklahoma enrollment
975 clinicians in this Medicare group

NPI 1386874550 (405) 752-3333

Board Of Regents Of The University Of Oklahoma - Ou Physicians

10 mi

Multi-Specialty

825 NE 10TH ST
Oklahoma City, OK 73104

Reassigned Medicare billing, Oklahoma enrollment
845 clinicians in this Medicare group

NPI 1801869250 (405) 271-3932

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 11

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.

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.

225 services103 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.

74 services74 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

45 services29 patients

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571

This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.

42 services42 patients

Exam of external female genitals using an endoscope 56820

This procedure involves utilizing a special tool called an endoscope to view the external areas typically covered by underwear. It helps doctors identify any abnormalities or issues, ensuring your health and well-being.

29 services15 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.

29 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370016

Location600 South MonroeEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370020

Location430 North Monte VistaAda, OK 74820 · Pontotoc County

Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370047

Location1011 14th Ave NWArdmore, OK 73401 · Carter County

Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370093

Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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

$162.61 typical visit price

range $53.00 – $162.61

Typical copayment $40.65 (range $13.25 – $40.65)

Most-billed visit code 99205

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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

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

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

2 suppliers11 claims210 services$3.46 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 9

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

HIMA PATEL PA

Physician Assistant (Medical)