DR. JEREMY JACKSON D.O., M.P.H.
NPI 1902244312
Emergency Medicine in Dayton, OH

Q: What is Jeremy Jackson's NPI number?

The NPI number for Jeremy Jackson is 1902244312. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Q: What is Jeremy Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Jackson was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 07, 2013PECOS Enrolled

97.58/100

CMS Quality Rating

405 W GRAND AVE, DAYTON, OH 45405(937) 723-3567(937) 723-5017 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jeremy Jackson D.o., M.p.h. NPPES

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

DR. JEREMY JACKSON D.O., M.P.H. (NPI 1902244312) is an individual emergency medicine provider in Dayton, Ohio, licensed in Ohio (011603) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902244312

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JEREMY JACKSONCredential: D.O., M.P.H.

Location Address405 W GRAND AVEDayton, OH 45405-4720

Mailing Address1391 Finger LksDayton, OH 45458-3121 · (740) 505-3022

Phone(937) 723-3567

Fax(937) 723-5017

Sole ProprietorNo

Enumeration DateJune 7, 2013

Last NPPES UpdateOctober 6, 2022

NPPES CertifiedOctober 6, 2022

✔ NPI 1902244312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OH · 011603✔ Licensed in IN · 02005405A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

405 W GRAND AVE, Dayton, OH 45405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Jackson D.o., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Jeremy Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohio Emergency Professionals Inc

65 mi

Emergency Medicine

50 W BROAD ST
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
474 clinicians in this Medicare group

NPI 1982983425 (440) 887-4718

Emergency Professional Services, Inc.

66 mi

Emergency Medicine

230 MEDICAL CENTER DR
Seaman, OH 45679

Reassigned Medicare billing, Ohio enrollment
894 clinicians in this Medicare group

NPI 1093762353 (937) 386-3400

Cep America LLC

92 mi

Emergency Medicine

1373 E STATE ROAD 62
Madison, IN 47250

Reassigned Medicare billing, Indiana enrollment
598 clinicians in this Medicare group

NPI 1720850233 (812) 801-0800

Riverview Hospital

99 mi

General Acute Care Hospital

395 WESTFIELD RD
Noblesville, IN 46060

Reassigned Medicare billing, Indiana enrollment
303 clinicians in this Medicare group

NPI 1225275928 (317) 773-0760

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

212 services197 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

117 services113 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

51 services49 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

LARA MARTINEZ

Emergency Medicine