BROCK JACKSON MD
NPI 1821093667
Specialist in Phoenix, AZ

Q: 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.

Q: What is Brock Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: 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.

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment

1661 E CAMELBACK RD, SUITE 160, PHOENIX, AZ 85016(602) 241-1671(602) 274-6181 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1821093667

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameBROCK JACKSONCredential: MD

Location Address1661 E CAMELBACK RD, SUITE 160Phoenix, AZ 85016-3911

Mailing Address1661 E Camelback Rd, Suite 160Phoenix, AZ 85016-3911 · (602) 241-1671 · Fax (602) 274-6181

Phone(602) 241-1671

Fax(602) 274-6181

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2001

Enumeration DateJune 17, 2005

Last NPPES UpdateMarch 19, 2015

✔ NPI 1821093667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 32949

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1661 E CAMELBACK RD, Phoenix, AZ 85016

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Other Identifiers 1

Medicaid939902AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

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

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.

PECOS PAC ID7618919523

PECOS Enrollment IDI20050601000307

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

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.

16 services13 patients

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

Breast Cancer Screening

85%441 patients4/55-star benchmark: 93%

Cervical Cancer Screening

95%2,037 patients4/55-star benchmark: 98%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

38%1,796 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

55%2,647 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 35% · 2,007 patients

Patients screened: 36% · 2,007 patients

21%34 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

IN HOME HEALTH, INC.

Home Health

1661 E CAMELBACK RD, SUITE 240
PHOENIX, AZ 85016

Maricopa County (602) 265-9909

LORI SOWELL

Technician, Other

1661 E CAMELBACK RD, SUITE 160
PHOENIX, AZ 85016

Maricopa County (602) 241-1671

LAURIE ERICKSON MD

Specialist

1661 E CAMELBACK RD, SUITE 160
PHOENIX, AZ 85016

Maricopa County (602) 241-1671

SARAH MEAD

Technician, Other

1661 E CAMELBACK RD, SUITE 160
PHOENIX, AZ 85016

Maricopa County (602) 241-1671

ARIZONA OBGYN AFFILIATES, P.C.

Specialist

1661 E CAMELBACK RD, SUITE 160
PHOENIX, AZ 85016

Maricopa County (602) 241-1671

STACI MAYER MD

Specialist

1661 E CAMELBACK RD, SUITE 160
PHOENIX, AZ 85016

Maricopa County (602) 241-1671

BARBARA ANNE LEDNICKY MD

Pediatrics

1661 E CAMELBACK RD, SUITE 170
PHOENIX, AZ 85016

Maricopa County (602) 263-9550

SUSAN MARCANIO NP

Nurse Practitioner

1661 E CAMELBACK RD, SUITE 160
PHOENIX, AZ 85016

Maricopa County (602) 241-1674

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.

What insurance does Brock Jackson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona 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.