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KIM NGAN THI JACKSON MD
NPI 1902292329
Internal Medicine - Allergy & Immunology in Little Rock, AR

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
83.19/100
CMS Quality Rating
18 CORPORATE HILL DR STE 110, LITTLE ROCK, AR 72205(501) 224-1156(501) 223-2625 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2021, May 24, 2021 (2 updates tracked since 2021).

About Kim Ngan Thi Jackson Md NPPES

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

KIM NGAN THI JACKSON MD (NPI 1902292329) is an individual allergy & immunology provider in Little Rock, Arkansas, licensed in Arkansas (E13055) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902292329
Entity TypeIndividualFemale
Primary Taxonomy207RA0201X
Provider Legal NameKIM NGAN THI JACKSONCredential: MD
Location Address18 CORPORATE HILL DR STE 110Little Rock, AR 72205-4565
Mailing Address18 Corporate Hill Dr Ste 110Little Rock, AR 72205-4565 · (501) 978-7113
Phone(501) 224-1156
Fax(501) 223-2625
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 13, 2015
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1902292329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in AR · E13055
Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

18 CORPORATE HILL DR STE 110, Little Rock, AR 72205
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Kim Ngan Thi 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 ID840598116
PECOS Enrollment IDI20200521001187
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 9

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
3,011 services56 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
1,463 services304 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,416 services89 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
288 services50 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
258 services38 patients
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.
95 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

83.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.69
Improvement Activities40
Cost85.74

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers20 claims77 services$18.99 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
1 supplier11 claims11 services$13.12 avg. paid by Medicare
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers15 claims1,728 services$34.87 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers20 claims139 services$2.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

STACY SIRMAR GRIFFIN M.D.
Internal Medicine (Allergy & Immunology)
18 CORPORATE HILL DR STE 110
LITTLE ROCK, AR 72205
Pulaski County (501) 224-1156
DR. ASHLEY NICOLE STONER M.D.
Internal Medicine (Allergy & Immunology)
18 CORPORATE HILL DR STE 110
LITTLE ROCK, AR 72205
Pulaski County (501) 224-1156
MELISSA BROOKE MAYHAN
Nurse Practitioner (Family)
18 CORPORATE HILL DR STE 110
LITTLE ROCK, AR 72205
Pulaski County (501) 224-1156
TULSHI AMIN DNP
Nurse Practitioner (Family)
18 CORPORATE HILL DR STE 110
LITTLE ROCK, AR 72205
Pulaski County (501) 224-1156

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 Kim Ngan Jackson's NPI number?

The NPI number for Kim Ngan Jackson is 1902292329. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Kim Ngan Jackson located?

Kim Ngan Jackson practices at 18 Corporate Hill Dr Ste 110, Little Rock, AR 72205. The listed phone number is (501) 224-1156.

What is Kim Ngan Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Kim Ngan Jackson enrolled in Medicare?

Yes. Kim Ngan 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 Kim Ngan Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Kim Ngan 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 Kim Ngan Jackson was last updated on July 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.