ALLEN THOMAS JACKSON MD
NPI 1932151479
Ophthalmology in Daytona Beach, FL

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
1201 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114(386) 492-7718(386) 492-7720 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Allen Thomas Jackson Md NPPES

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

ALLEN THOMAS JACKSON MD (NPI 1932151479) is an individual ophthalmology provider in Daytona Beach, Florida, licensed in Florida (ME80695) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1985).

NPPES Registry Identity

NPI1932151479
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameALLEN THOMAS JACKSONCredential: MD
Location Address1201 S RIDGEWOOD AVEDaytona Beach, FL 32114-6123
Mailing Address1201 S Ridgewood AveDaytona Beach, FL 32114-6123 · (386) 492-7718 · Fax (386) 492-7720
Fax(386) 492-7720
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1985
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1932151479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME80695
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1201 S RIDGEWOOD AVE, Daytona Beach, FL 32114

Other Identifiers 1

Medicaid001628800FL

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

Allen Thomas 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 ID3274570718
PECOS Enrollment IDI20100616000151
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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
257 services43 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
248 services85 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
221 services86 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
135 services94 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
122 services45 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
73 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

Ophthalmology
1201 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932151479, enumerated as an "individual" on May 16, 2006.

The provider is located at 1201 S RIDGEWOOD AVE DAYTONA BEACH, FL 32114 and the phone number is (386) 492-7718.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.