DR. JAMES F. JACKSON III M.D.
NPI 1730115528
Internal Medicine - Gastroenterology in San Antonio, TX

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
855 PROTON RD, SAN ANTONIO, TX 78258(210) 614-1234(210) 614-0952 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 15, 2018 (2 updates tracked since 2018).

About Dr. James F. Jackson Iii M.d. NPPES

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

DR. JAMES F. JACKSON III M.D. (NPI 1730115528) is an individual gastroenterology provider in San Antonio, Texas, licensed in Texas (M5774) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730115528
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JAMES F. JACKSON IIICredential: M.D.
Location Address855 PROTON RDSan Antonio, TX 78258-4203
Mailing Address8415 Datapoint Dr, Suite 1000San Antonio, TX 78229-3298 · (210) 614-1234 · Fax (210) 614-7749
Fax(210) 614-0952
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2000
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1730115528 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 TX · M5774
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.
855 PROTON RD, San Antonio, TX 78258

Secondary Practice Locations 2

Location 15223 Hamilton Wolfe RdSan Antonio, TX 78229-4463 · Phone (210) 614-1234 · Fax (216) 614-0952
Location 212850 Toepperwein RdLive Oak, TX 78233-4115 · Phone (210) 614-1234 · Fax (216) 614-0952

Other Identifiers 2

Medicaid189168101TX
Other8J8384TX · Bcbs

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

Dr. James F. Jackson Iii 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 ID6709889488
PECOS Enrollment IDI20071106000303
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 14

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
270 services268 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.
265 services199 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
157 services153 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.
114 services114 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
83 services83 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
74 services74 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Reported Quality Measures

Photodocumentation of Cecal Intubation
The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination
100%323 patients
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.

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Medical)
855 PROTON RD
SAN ANTONIO, TX 78258
Physician Assistant
855 PROTON RD
SAN ANTONIO, TX 78258
Internal Medicine (Gastroenterology)
855 PROTON RD
SAN ANTONIO, TX 78258
Internal Medicine (Gastroenterology)
855 PROTON RD
SAN ANTONIO, TX 78258
Internal Medicine (Gastroenterology)
855 PROTON RD
SAN ANTONIO, TX 78258
Clinic/Center (Ambulatory Surgical)
855 PROTON RD
SAN ANTONIO, TX 78258
Internal Medicine (Gastroenterology)
855 PROTON RD
SAN ANTONIO, TX 78258
Internal Medicine (Gastroenterology)
855 PROTON RD
SAN ANTONIO, TX 78258

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 James Jackson's NPI number?

The NPI number for James Jackson is 1730115528. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is James Jackson located?

James Jackson practices at 855 Proton Rd, San Antonio, TX 78258. The listed phone number is (210) 614-1234.

What is James Jackson's specialty?

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

Is James Jackson enrolled in Medicare?

Yes. James 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 James Jackson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list James 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 James Jackson affiliated with any hospitals?

According to CMS data, James Jackson is affiliated with Baptist Medical Center and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for James Jackson was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.