EVELYN DIANE JACKSON M.D.
NPI 1770707093
Internal Medicine in Olney, MD

Q: What is Evelyn Jackson's NPI number?

The NPI number for Evelyn Jackson is 1770707093. It was assigned to this individual provider in the NPPES registry on April 11, 2007. The provider is also known as Evelyn Diane Jackson M.D..

Q: What is Evelyn Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Evelyn Jackson was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 11, 2007PECOS EnrolledAccepts Medicare Assignment

27.19/100

CMS Quality Rating

3416 OLANDWOOD CT, SUITE 200, OLNEY, MD 20832(301) 774-5600 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 18, 2016, Jan 17, 2016 (2 updates tracked since 2016).

On this page

About Evelyn Diane Jackson M.d. NPPES

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

EVELYN DIANE JACKSON M.D. (NPI 1770707093) is an individual internal medicine provider in Olney, Maryland, licensed in Maryland (D25947) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1979).

NPPES Registry Identity

NPI1770707093

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameEVELYN DIANE JACKSONCredential: M.D.

Location Address3416 OLANDWOOD CT, SUITE 200Olney, MD 20832-1372

Mailing Address3416 Olandwood Ct, Suite 200Olney, MD 20832-1372 · (301) 774-5600

Phone(301) 774-5600

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1979

Enumeration DateApril 11, 2007

Last NPPES UpdateMay 18, 20162 updates tracked since enumeration

✔ NPI 1770707093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D25947

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3416 OLANDWOOD CT, Olney, MD 20832

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Other Names 1

Professional Name (2)Evelyn Diane Jackson M.d.

Other Identifiers 3

Medicare UPIND74643

Medicaid25560-1002MD

Medicare PIN491021MD

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

Evelyn Diane 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 ID3577698638

PECOS Enrollment IDI20100316000162

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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

1,518 services558 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

650 services434 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.

250 services179 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

157 services157 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

104 services93 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

72 services70 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

71 services69 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

69 services66 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

34 services17 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

31 services22 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20832 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

27.19/100

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

Individually scored

Quality

Improvement Activities

Cost

63.97

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

18 suppliers79 claims223 services$5.43 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers33 claims46 services$1.11 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

2 suppliers16 claims400 services$2.82 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers13 claims70 services$13.45 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers17 claims17 services$41.77 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers12 claims12 services$14.36 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 10

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

DR. JOHNY JOSEPH EDAPPULLY M.D.

Family Medicine

3416 OLANDWOOD CT, 207
OLNEY, MD 20832

Montgomery County (301) 774-8355

MS. JIL MARIE WHITTLE LCSW

Social Worker (Clinical)

3416 OLANDWOOD CT, STE. 201
OLNEY, MD 20832

Montgomery County (240) 475-0143

MS. GAIL LYNN ULLRICH LCSW-C

Social Worker (Clinical)

3416 OLANDWOOD CT, STE 201
OLNEY, MD 20832

Montgomery County (301) 928-6324

DR. MORTON BARRY ALBERT M.D.

Psychiatry & Neurology (Psychiatry)

3416 OLANDWOOD CT, SUITE 201
OLNEY, MD 20832

Montgomery County (240) 328-5580

DR. MARVIN NEIL TABB M.D.

Pediatrics

3416 OLANDWOOD CT, SUITE 108
OLNEY, MD 20832

Montgomery County (301) 774-7906

FAMILY MEDICAL CENTER PA

Family Medicine

3416 OLANDWOOD CT, 207
OLNEY, MD 20832

Montgomery County (301) 774-1231

DR. ROBERT H KNITZER MD

Internal Medicine (Rheumatology)

3416 OLANDWOOD CT, 204
OLNEY, MD 20832

Montgomery County (301) 774-1797

DR. ARTHUR FLETCHALL WOODWARD JR. M.D.

Surgery

3416 OLANDWOOD CT, SUITE 205
OLNEY, MD 20832

Montgomery County (301) 924-3004

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 Evelyn Jackson's NPI number?

The NPI number for Evelyn Jackson is 1770707093. It was assigned to this individual provider in the NPPES registry on April 11, 2007. The provider is also known as Evelyn Diane Jackson M.D..

Where is Evelyn Jackson located?

Evelyn Jackson practices at 3416 Olandwood Ct Suite 200, Olney, MD 20832. The listed phone number is (301) 774-5600.

What is Evelyn Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Evelyn Jackson enrolled in Medicare?

Yes. Evelyn 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.

When was this NPI record last updated?

The NPPES record for Evelyn Jackson was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.