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

Q: What is Allen Jackson's NPI number?

The NPI number for Allen Jackson is 1932151479. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Allen Jackson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Allen Jackson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: October 18, 2026.

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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

Phone(386) 492-7718

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

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Other Identifiers 1

Medicaid001628800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Allen Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

3D Vision Eye Surgery Center

Same address

Ophthalmology

1201 S RIDGEWOOD AVE
Daytona Beach, FL 32114

Reassigned Medicare billing, Florida enrollment

NPI 1245569508 (386) 492-7718

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

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.

267 services47 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.

196 services70 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

163 services68 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.

104 services72 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.

80 services35 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.

67 services47 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.

3D VISION EYE SURGERY CENTER

Ophthalmology

1201 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114

Volusia County (386) 492-7718

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 Allen Jackson's NPI number?

The NPI number for Allen Jackson is 1932151479. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Allen Jackson located?

Allen Jackson practices at 1201 S Ridgewood Ave, Daytona Beach, FL 32114. The listed phone number is (386) 492-7718.

What is Allen Jackson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Allen Jackson enrolled in Medicare?

Yes. Allen 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.

Which organization bills Medicare for Allen Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allen Jackson reassigns Medicare benefits to 3D Vision Eye Surgery Center (Daytona Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allen Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allen Jackson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 7 other insurers list Allen 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 Allen Jackson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.