BROCK JACKSON MD
NPI 1821093667
Specialist in Phoenix, AZ
About Brock Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROCK JACKSON MD (NPI 1821093667) is an individual specialist in Phoenix, Arizona, licensed in Arizona (32949) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Brock Jackson Md 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
2Medicare enrollment records show Brock Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 136 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 553 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.
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.
Reported Quality Measures
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.
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 Brock Jackson's NPI number?
The NPI number for Brock Jackson is 1821093667. It was assigned to this individual provider in the NPPES registry on June 17, 2005.
Where is Brock Jackson located?
Brock Jackson practices at 1661 E Camelback Rd Suite 160, Phoenix, AZ 85016. The listed phone number is (602) 241-1671.
What is Brock Jackson's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Brock Jackson enrolled in Medicare?
Yes. Brock 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 Brock Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brock Jackson reassigns Medicare benefits to 2 organizations: Arizona Ob Gyn Affiliates PC (Phoenix, AZ) and Banner - University Physician Specialists LLC (Phoenix, AZ). 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 Brock Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brock Jackson accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Brock 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 Brock Jackson was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Brock Jackson, MD · NPI 1821093667
Specialist provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since June 17, 2005.
## Identity
- **NPI:** 1821093667 (Entity type: Individual)
- **Enumerated:** June 17, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 32949 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1661 E CAMELBACK RD, SUITE 160, Phoenix, AZ 85016-3911
- **Phone:** (602) 241-1671 · **Fax:** (602) 274-6181
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Arizona Ob Gyn Affiliates PC (NPI 1750589404, Phoenix, AZ); Banner - University Physician Specialists LLC (NPI 1417312760, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** March 19, 2015
- **Other identifiers:** Medicaid 939902 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1821093667) · Data from the CMS NPPES public registry.