SHAWN BARRETT JACKSON M,D,
NPI 1730258708
Pathology - Anatomic Pathology & Clinical Pathology in Springfield, MO

Q: What is Shawn Jackson's NPI number?

The NPI number for Shawn Jackson is 1730258708. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Shawn Jackson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Jackson was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 November 06, 2006PECOS EnrolledAccepts Medicare Assignment

90.52/100

CMS Quality Rating

1000 E PRIMROSE ST STE 550, SPRINGFIELD, MO 65807(417) 269-4646 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2026, Dec 17, 2025 (2 updates tracked since 2025).

On this page

About Shawn Barrett Jackson M,d, NPPES

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

SHAWN BARRETT JACKSON M,D, (NPI 1730258708) is an individual anatomic pathology & clinical pathology provider in Springfield, Missouri, licensed in Missouri (2005005716) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730258708

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameSHAWN BARRETT JACKSONCredential: M,D,

Location Address1000 E PRIMROSE ST STE 550Springfield, MO 65807-5180

Mailing Address1000 E Primrose St Ste 550Springfield, MO 65807-5180 · (417) 269-4646

Phone(417) 269-4646

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 1998

Enumeration DateNovember 6, 2006

Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1730258708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MO · 2005005716

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 2005005716 (MO)

1000 E PRIMROSE ST STE 550, Springfield, MO 65807

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11230 E Kingsley St Ste A&bSpringfield, MO 65804-7211 · Phone (417) 336-0033 · Fax (855) 710-6552

Location 21587 N Bolton Ave Ste 1300Alexandria, LA 71303-4255 · Phone (318) 933-3376 · Fax (318) 933-3377

Location 33302 Gerig Dr Ste 100Bloomington, IL 61704-6343 · Phone (309) 533-7070 · Fax (855) 710-6552

Other Identifiers 7

Medicaid700100407MO

Other1101160MO · United Healthcare

Other421539307MO · Fed Tax Id-tri-lakes Path

Other1559MO · Bluecrossblueshield-patho

Other431451388MO · Fed Tax Id-pathology Serv

Other159012MO · Bluecrossblueshield-tri-l

Medicaid705866705MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Sunflower Health Plan 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

Shawn Barrett 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 ID446153514

PECOS Enrollment IDI20050519000011, I20251230001333, I20260107002685

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 Shawn Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathology Services Of Springfield, P.C.

Same address

Clinical Medical Laboratory

1000 E PRIMROSE ST STE 550
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Pathology Services Of Springfield PC
10 clinicians in this Medicare group

NPI 1801935879 (417) 269-4646

Dermatology And Mohs Surgery Skin Cancer Center

31 mi

Dermatology

110 BUSINESS PARK DR STE C
Branson, MO 65616

Reassigned Medicare billing, Missouri enrollment
4 clinicians in this Medicare group

NPI 1124763479 (417) 336-0033

Citizens Memorial Hospital District

32 mi

General Acute Care Hospital

1500 N OAKLAND AVE
Bolivar, MO 65613

Reassigned Medicare billing, Missouri enrollment
128 clinicians in this Medicare group

NPI 1003981549 (417) 326-6000

Dermatology And Skin Cancer Center

330 mi

Dermatology

3302 GERIG DR STE 100
Bloomington, IL 61704

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1093596652 (309) 533-7070

Cenla Dermatology

405 mi

Dermatology

1587 N BOLTON AVE STE 1300
Alexandria, LA 71303

Reassigned Medicare billing, Louisiana enrollment
6 clinicians in this Medicare group

NPI 1851919005 (318) 933-3376

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 18

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

5,977 services3,789 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

537 services334 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

289 services251 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

140 services135 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

86 services67 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

70 services29 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

66 services55 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

64 services44 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

59 services54 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

53 services47 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

51 services11 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

41 services40 patients

Special stained specimen slides to examine tissue, initial procedure 88342

36 services36 patients

Protein measurement, body fluid 84166

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

25 services24 patients

Immunologic analysis technique on body fluid, other fluids with concentration 86335

Immunologic analysis is a diagnostic method that assesses your body fluids to detect health issues. It involves concentrating these fluids to enhance detection of specific proteins or cells. It helps identify immune system responses, aiding in accurate diagnosis and treatment.

21 services21 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

16 services15 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

13 services13 patients

Tissue fungi or parasites 87220

Tissue fungi or parasites refer to microorganisms that can infect various parts of the body. This may cause symptoms like fatigue, fever, and skin changes. Diagnosis involves testing samples from the affected area. Treatment often includes medication to eliminate the infection.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260094

Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

90.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.05

Improvement Activities

Other Providers at the Same Location NPPES 10

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

JAMES MASON SHELLEY JR. M.D.

Pathology (Anatomic Pathology & Clinical Pathology)