DR. RICHARD TAYLOR JACKSON II MD
NPI 1922248202
Radiology - Diagnostic Radiology in Provo, UT

Active since February 26, 2009PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W, SUITE 112, PROVO, UT 84604(801) 812-4624(801) 812-4699 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2025, Apr 15, 2020, Nov 1, 2018 (3 updates tracked since 2018).

About Dr. Richard Taylor Jackson Ii Md NPPES

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

DR. RICHARD TAYLOR JACKSON II MD (NPI 1922248202) is an individual diagnostic radiology provider in Provo, Utah, licensed in Utah (7960088-1205) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of University Of Louisville School Of Medicine (2005).

NPPES Registry Identity

NPI1922248202
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RICHARD TAYLOR JACKSON IICredential: MD
Location Address1055 N 500 W, SUITE 112Provo, UT 84604-3305
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 812-4699
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2005
Enumeration DateFebruary 26, 2009
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1922248202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in UT · 7960088-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1055 N 500 W, Provo, UT 84604

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

Dr. Richard Taylor Jackson Ii 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 ID2860670171
PECOS Enrollment IDI20110708000316
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 50

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
7,281 services93 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
4,730 services34 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
168 services142 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
71 services71 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
71 services71 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
63 services63 patients

Hospital Affiliations CMS Care Compare 4

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

Mountain View Hospital

Acute Care Hospitals · Payson, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460013
Location1000 East 100 NorthPayson, UT 84651 · Utah County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Central Valley Medical Center - Cah

Critical Access Hospitals · Nephi, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461304
Location48 West 1500 NorthNephi, UT 84648 · Juab County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

Family Medicine
1055 N 500 W
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Internal Medicine
1055 N 500 W
PROVO, UT 84604

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1922248202. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Where is Richard Jackson located?

Richard Jackson practices at 1055 N 500 W Suite 112, Provo, UT 84604. The listed phone number is (801) 812-4624.

What is Richard Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Richard Jackson enrolled in Medicare?

Yes. Richard 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 Richard Jackson accept?

Health plans from Molina Healthcare and Select Health list Richard 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 Richard Jackson affiliated with any hospitals?

According to CMS data, Richard Jackson is affiliated with Mountain View Hospital, Holy Cross Hospital-Jordan Valley, Timpanogos Regional Hospital and Central Valley Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Richard Jackson was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.