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

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: July 26, 2026.

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality86.53
Promoting Interoperability100
Improvement Activities40

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
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3245
ANDREW JORDAN KRISTUFEK DO
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
DR. JASON DWIGHT MCINTOSH D.O.
Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
WHITNEY J CRYE D.O.
Obstetrics & Gynecology
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3567
SARAH BLESCH
Nurse Anesthetist, Certified Registered
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3200
ALEXANDRA D BREZOVEC
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3248
RONALD TRAN DO
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Montgomery County (937) 723-3200
DR. CHARLES OSBORNE DUNCAN II DO
Internal Medicine
405 W GRAND AVE, C/O MEDICAL EDUCATION
DAYTON, OH 45405
Montgomery County (937) 723-3248

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 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.

Where is Jeremy Jackson located?

Jeremy Jackson practices at 405 W Grand Ave, Dayton, OH 45405. The listed phone number is (937) 723-3567.

What is Jeremy Jackson's specialty?

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

Is Jeremy Jackson enrolled in Medicare?

Yes. Jeremy Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Jeremy Jackson accept?

Health plans from CareSource list Jeremy 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 Jeremy Jackson was last updated on October 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.