JORDAN JACKSON MD
NPI 1902268360
Surgery - Surgical Oncology in San Francisco, CA

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
1825 4TH ST FL 3, SAN FRANCISCO, CA 94143(415) 353-7070 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, Aug 8, 2023, Mar 24, 2016 (3 updates tracked since 2016).

About Jordan Jackson Md NPPES

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

JORDAN JACKSON MD (NPI 1902268360) is an individual surgical oncology provider in San Francisco, California, licensed in California (A153292) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2016).

NPPES Registry Identity

NPI1902268360
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameJORDAN JACKSONCredential: MD
Location Address1825 4TH ST FL 3San Francisco, CA 94143-2350
Mailing Address1825 4th St Fl 3San Francisco, CA 94143-2350 · (415) 353-7070
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1902268360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in CA · A153292
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License A153292 (CA)
1825 4TH ST FL 3, San Francisco, CA 94143

Secondary Practice Location 1

Location 11411 E 31st StOakland, CA 94602-1018 · Phone (510) 289-4004

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

Jordan 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 ID5890043145
PECOS Enrollment IDI20230823000963
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Surgical Oncology)
1825 4TH ST FL 3
SAN FRANCISCO, CA 94143
Genetic Counselor, MS
1825 4TH ST FL 3
SAN FRANCISCO, CA 94143
Nurse Practitioner (Family)
1825 4TH ST FL 3
SAN FRANCISCO, CA 94143
Nurse Practitioner (Women's Health)
1825 4TH ST FL 3
SAN FRANCISCO, CA 94143
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1825 4TH ST FL 3
SAN FRANCISCO, CA 94143
Internal Medicine (Medical Oncology)
1825 4TH ST FL 3
SAN FRANCISCO, CA 94143
Preventive Medicine (Addiction Medicine)
1825 4TH ST FL 3
SAN FRANCISCO, CA 94143
Surgery (Surgical Oncology)
1825 4TH ST FL 3
SAN FRANCISCO, CA 94143

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 Jordan Jackson's NPI number?

The NPI number for Jordan Jackson is 1902268360. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Jordan Jackson located?

Jordan Jackson practices at 1825 4th St Fl 3, San Francisco, CA 94143. The listed phone number is (415) 353-7070.

What is Jordan Jackson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Jordan Jackson enrolled in Medicare?

Yes. Jordan 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.

When was this NPI record last updated?

The NPPES record for Jordan Jackson was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.