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WILLIAM JACKSON M.D.
NPI 1740530302
Family Medicine in Payette, ID

Active since September 11, 2012PECOS Enrolled
1441 NE 10TH AVE, PAYETTE, ID 83661(208) 642-9376(208) 642-9279 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Jackson M.d. NPPES

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

WILLIAM JACKSON M.D. (NPI 1740530302) is an individual family medicine provider in Payette, Idaho, licensed in Idaho (M-14093) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ontario.

NPPES Registry Identity

NPI1740530302
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM JACKSONCredential: M.D.
Location Address1441 NE 10TH AVEPayette, ID 83661-5420
Mailing Address1441 Ne 10th AvePayette, ID 83661-5420 · (208) 642-9376
Phone(208) 642-9376
Fax(208) 642-9279
Sole ProprietorNo
Enumeration DateSeptember 11, 2012
Last NPPES UpdateApril 12, 2019
✔ NPI 1740530302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · M-14093✔ Licensed in OR · MD187049
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.
1441 NE 10TH AVE, Payette, ID 83661
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Secondary Practice Location 1

Location 12327 SW 4th AveOntario, OR 97914-1851 · Phone (541) 889-2340 · Fax (541) 889-2593

Other Identifiers 2

OtherM-14093ID · State Of Idaho Medical License
OtherMD187049OR · State Of Oregon, Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83661 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$785.73 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.

NICOLE ANN MARIE YOUNG RDH
Dental Hygienist
1441 NE 10TH AVE
PAYETTE, ID 83661
Payette County (208) 642-9376
VALLEY FAMILY HEALTH CARE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1441 NE 10TH AVE
PAYETTE, ID 83661
Payette County (208) 642-9376
MARCIA STRAHN CNM
Nurse Practitioner (Women's Health)
1441 NE 10TH AVE
PAYETTE, ID 83661
Payette County (208) 642-9376
ABIGAIL BRADFORD RDH
Dental Hygienist
1441 NE 10TH AVE
PAYETTE, ID 83661
Payette County (208) 642-9376
KATEE JO RODRIGUEZ PA-C
Physician Assistant
1441 NE 10TH AVE
PAYETTE, ID 83661
Payette County (208) 642-9376
MRS. HOLLY M MAY PA-C
Physician Assistant
1441 NE 10TH AVE
PAYETTE, ID 83661
Payette County (615) 962-1520
VALLEY FAMILY HEALTH CARE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1441 NE 10TH AVE
PAYETTE, ID 83661
Payette County (208) 642-9376
ANDREW SILSBY FNP-C
Nurse Practitioner (Family)
1441 NE 10TH AVE
PAYETTE, ID 83661
Payette County (208) 642-9376

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 William Jackson's NPI number?

The NPI number for William Jackson is 1740530302. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is William Jackson located?

William Jackson practices at 1441 NE 10th Ave, Payette, ID 83661. The listed phone number is (208) 642-9376.

What is William Jackson's specialty?

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

Is William Jackson enrolled in Medicare?

Yes. William Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Jackson was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.