CARL JACKSON PA-C
NPI 1902263270
Physician Assistant in Tulsa, OK

Active since January 18, 2016PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
8801 S 101ST EAST AVE, TULSA, OK 74133(918) 579-6090 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carl Jackson Pa-c NPPES

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

CARL JACKSON PA-C (NPI 1902263270) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (PA 2616) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902263270
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARL JACKSONCredential: PA-C
Location Address8801 S 101ST EAST AVETulsa, OK 74133-5716
Mailing Address22096 S 445th East AvePorter, OK 74454-3239 · (918) 625-7927
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 18, 2016
NPI 1902263270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · PA 2616
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8801 S 101ST EAST AVE, Tulsa, OK 74133

Accepted 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

Carl Jackson Pa-c 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 ID8224334891
PECOS Enrollment IDI20160308000737
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
121 services112 patients
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.
121 services114 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.
51 services50 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.
45 services44 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.74
Promoting Interoperability100
Improvement Activities40
Cost51.95

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.

Dietitian, Registered
8801 S 101ST EAST AVE
TULSA, OK 74133
General Acute Care Hospital
8801 S 101ST EAST AVE
TULSA, OK 74133
Audiologist
8801 S 101ST EAST AVE
TULSA, OK 74133
Physician Assistant
8801 S 101ST EAST AVE
TULSA, OK 74133
Registered Nurse (Lactation Consultant)
8801 S 101ST EAST AVE
TULSA, OK 74133
Physical Therapist (Orthopedic)
8801 S 101ST EAST AVE
TULSA, OK 74133
Dietitian, Registered
8801 S 101ST EAST AVE
TULSA, OK 74133
Surgery
8801 S 101ST EAST AVE
TULSA, OK 74133

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 Carl Jackson's NPI number?

The NPI number for Carl Jackson is 1902263270. It was assigned to this individual provider in the NPPES registry on January 18, 2016.

Where is Carl Jackson located?

Carl Jackson practices at 8801 S 101st East Ave, Tulsa, OK 74133. The listed phone number is (918) 579-6090.

What is Carl Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carl Jackson enrolled in Medicare?

Yes. Carl 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 Carl Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Carl 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.

Is Carl Jackson affiliated with any hospitals?

According to CMS data, Carl Jackson is affiliated with Hillcrest Medical Center, Saint Francis Hospital, Inc, Hillcrest Hospital South and Ascension St John Broken Arrow.

When was this NPI record last updated?

The NPPES record for Carl Jackson was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.