DR. ROBERT DEREK JACKSON M.D.
NPI 1780655399
Anesthesiology in Jacksonville, FL
About Dr. Robert Derek Jackson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROBERT DEREK JACKSON M.D. (NPI 1780655399) is an individual anesthesiology provider in Jacksonville, Florida, licensed in Maryland (D0055688) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Robert Derek 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.
Medicare Billing Reassignments
8Medicare enrollment records show Robert Jackson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange Park, FL 32003
- Reassigned Medicare billing, Florida enrollment
- 876 clinicians in this Medicare group
Tampa, FL 33603
- Reassigned Medicare billing, Florida enrollment
- 160 clinicians in this Medicare group
Tampa, FL 33614
- Reassigned Medicare billing, Florida enrollment
- 151 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida and Indiana enrollments
- 1,887 clinicians in this Medicare group
Port St Lucie, FL 34952
- Reassigned Medicare billing, Florida enrollment
- 43 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 435 clinicians in this Medicare group
Gary, IN 46402
- Reassigned Medicare billing, Indiana enrollment
- 55 clinicians in this Medicare group
Hurst, TX 76054
- Reassigned Medicare billing, Florida enrollment
- 107 clinicians in this Medicare group
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
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.
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.
JACKSONVILLE, FL 32214
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 Robert Jackson's NPI number?
The NPI number for Robert Jackson is 1780655399. It was assigned to this individual provider in the NPPES registry on January 31, 2006.
Where is Robert Jackson located?
Robert Jackson practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-7631.
What is Robert Jackson's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Robert Jackson enrolled in Medicare?
Yes. Robert 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.
Which organizations bill Medicare for Robert Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Jackson reassigns Medicare benefits to 8 organizations: Fleming Island Anesthesia LLC (Orange Park, FL), Anesthesiology Professional Services, Inc. (Tampa, FL), Florida Pain Relief Group PLLC (Tampa, FL), Anesthesia Dynamics LLC (Bradenton, FL), Red Reef Anesthesia Inc (Port St Lucie, FL) and 3 more organizations, listed in the Medicare section above. Each 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 Robert Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Jackson accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Robert Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Robert Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Robert Derek Jackson, M.D. · NPI 1780655399
Anesthesiology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since January 31, 2006.
## Identity
- **NPI:** 1780655399 (Entity type: Individual)
- **Enumerated:** January 31, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** D0055688 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2080 CHILD ST, Jacksonville, FL 32214-5005
- **Phone:** (904) 542-7631
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Fleming Island Anesthesia LLC (NPI 1487945895, Orange Park, FL); Anesthesiology Professional Services, Inc. (NPI 1902856891, Tampa, FL); Florida Pain Relief Group PLLC (NPI 1376994608, Tampa, FL); Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL); Red Reef Anesthesia Inc (NPI 1851169775, Port St Lucie, FL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 1998
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780655399) · Data from the CMS NPPES public registry.