MARKUS JACKSON MD INC
NPI 1770104606
Anesthesiology - Pain Medicine in Modesto, CA
About Markus Jackson Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARKUS JACKSON MD INC (NPI 1770104606) is a healthcare organization registered as a pain medicine in Modesto, California and active in the NPI registry since May 2020. The organization lists Markus R Jackson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Markus Jackson Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Markus Jackson MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Markus Jackson MD Inc's NPI number?
The NPI number for Markus Jackson MD Inc is 1770104606. It was assigned to this organization in the NPPES registry on May 1, 2020.
Where is Markus Jackson MD Inc located?
Markus Jackson MD Inc is located at 4016 Dale Rd, Modesto, CA 95356. The listed phone number is (706) 288-8683.
What is Markus Jackson MD Inc's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Markus Jackson MD Inc enrolled in Medicare?
Yes. Markus Jackson MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Markus Jackson MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Markus Jackson MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Markus Jackson MD Inc was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Markus Jackson Md Inc · NPI 1770104606
Pain Medicine organization in Modesto, California. Organization record, active in the CMS NPPES registry since May 1, 2020.
## Identity
- **NPI:** 1770104606 (Entity type: Organization)
- **Enumerated:** May 1, 2020
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** Markus Jackson, PRESIDENT
## Practice location
- **Address:** 4016 DALE RD, Modesto, CA 95356-9268
- **Phone:** (706) 288-8683
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1770104606) · Data from the CMS NPPES public registry.