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TITUS CLINTON JACKSON PA-C
NPI 1700224011
Physician Assistant - Surgical in Los Angeles, CA

Active since June 08, 2013PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
444 S SAN VICENTE BLVD STE 603, LOS ANGELES, CA 90048(310) 423-4566 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Titus Clinton Jackson Pa-c NPPES

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

TITUS CLINTON JACKSON PA-C (NPI 1700224011) is an individual surgical provider in Los Angeles, California, licensed in California (99220) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Hollywood, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1700224011
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTITUS CLINTON JACKSONCredential: PA-C
Location Address444 S SAN VICENTE BLVD STE 603Los Angeles, CA 90048-4178
Mailing Address444 S San Vicente Blvd Ste 603Los Angeles, CA 90048-4178 · (310) 423-4566
Phone(310) 423-4566
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 8, 2013
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1700224011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 99220
444 S SAN VICENTE BLVD STE 603, Los Angeles, CA 90048
Open in Google Maps ↗

Secondary Practice Location 1

Location 18700 Beverly BlvdWest Hollywood, CA 90048-1804 · Phone (310) 423-4566

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

Titus Clinton Jackson Pa-c 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 ID749412583
PECOS Enrollment IDI20140410000755
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 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.

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.
303 services185 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
236 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 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.
61 services59 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
47 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

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.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

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.

Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier12 claims12 services$47.20 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 20

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

REBISI ANTHONY OWHONDA
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1282
JOURDAN HANNAH MELTZER
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1282
EDWARD JOSEPH WELDON IV
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1282
GURKIRAT S JAWANDA DO
Orthopaedic Surgery
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9718
MS. KATHLEEN MARY BREDA NP
Nurse Practitioner (Acute Care)
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Los Angeles County (310) 423-4566
JEFFREY R RULAND M.D.
Orthopaedic Surgery
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9718
MATTHEW ROHDE MD
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1282
D-DRE WRIGHT MD
Student in an Organized Health Care Education/Training Program
444 S SAN VICENTE BLVD STE 603
LOS ANGELES, CA 90048
Los Angeles County (808) 753-4318

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 Titus Jackson's NPI number?

The NPI number for Titus Jackson is 1700224011. It was assigned to this individual provider in the NPPES registry on June 8, 2013.

Where is Titus Jackson located?

Titus Jackson practices at 444 S San Vicente Blvd Ste 603, Los Angeles, CA 90048. The listed phone number is (310) 423-4566.

What is Titus Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Titus Jackson enrolled in Medicare?

Yes. Titus 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 Titus Jackson was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.