JACKSON RODGERS PHYSICIAN ASSISTANT
NPI 1760005664
Physician Assistant in Oklahoma City, OK

Q: What is Jackson Rodgers's NPI number?

The NPI number for Jackson Rodgers is 1760005664. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Q: What is Jackson Rodgers's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Rodgers was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 26, 2020PECOS Enrolled

1000 N LEE AVE, OKLAHOMA CITY, OK 73102(405) 272-7000 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Jul 7, 2021, May 26, 2020 (3 updates tracked since 2020).

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About Jackson Rodgers Physician Assistant NPPES

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

JACKSON RODGERS PHYSICIAN ASSISTANT (NPI 1760005664) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (4644) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Macon.

NPPES Registry Identity

NPI1760005664

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACKSON RODGERSCredential: PHYSICIAN ASSISTANT

Location Address1000 N LEE AVEOklahoma City, OK 73102-1036

Mailing Address5a Whispering Pines CtMacon, IL 62544-7218 · (636) 866-8958

Phone(405) 272-7000

Sole ProprietorYes

Enumeration DateMay 26, 2020

Last NPPES UpdateJune 9, 20223 updates tracked since enumeration

NPPES CertifiedJune 9, 2022

✔ NPI 1760005664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 4644

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 N LEE AVE, Oklahoma City, OK 73102

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Secondary Practice Location 1

Location 15A Whispering Pines CtMacon, IL 62544-7218 · Phone (636) 866-8958

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Rodgers Physician Assistant 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

256 services242 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

134 services123 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

104 services101 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73102 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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