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DR. LESLIE W JACKSON MD
NPI 1972690774
Internal Medicine - Rheumatology in La Grande, OR

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
710 SUNSET DR, LA GRANDE, OR 97850(541) 663-3000(541) 975-5115 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leslie W Jackson Md NPPES

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

DR. LESLIE W JACKSON MD (NPI 1972690774) is an individual rheumatology provider in La Grande, Oregon, licensed in Oregon (MD156467) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Blue Mountain Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1991).

NPPES Registry Identity

NPI1972690774
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. LESLIE W JACKSONCredential: MD
Location Address710 SUNSET DRLa Grande, OR 97850-1200
Mailing Address710 Sunset DrLa Grande, OR 97850-1200 · (541) 663-3000 · Fax (541) 975-5115
Phone(541) 663-3000
Fax(541) 975-5115
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1991
Enumeration DateOctober 5, 2006
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1972690774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in OR · MD156467✔ Licensed in NC · 9300627✔ Licensed in ID · M-11620
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
710 SUNSET DR, La Grande, OR 97850
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Leslie K Wilgus Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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

Dr. Leslie W 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 ID42407108
PECOS Enrollment IDI20121211000137
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.

Hospital Affiliations CMS Care Compare 5

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

Blue Mountain Hospital

Critical Access Hospitals · John Day, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381305
Location170 Ford RoadJohn Day, OR 97845 · Grant County
Emergency services

Wallowa Memorial Hospital

Critical Access Hospitals · Enterprise, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381306
Location601 Medical ParkwayEnterprise, OR 97828 · Wallowa County
Emergency services Birthing friendly

St. Alphonsus Medical Center - Baker City

Critical Access Hospitals · Baker City, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381315
Location3325 Pocahontas RoadBaker City, OR 97814 · Baker County
Emergency services

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381319
Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County
Emergency services Birthing friendly

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381321
Location900 Sunset DriveLa Grande, OR 97850 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
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 8

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

MICHAEL JOSEPH STURMAK CCC-A
Audiologist-Hearing Aid Fitter
710 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 963-8643
JOHN SCHAEFER MD PC
Family Medicine
710 SUNSET DR, SUITE C
LA GRANDE, OR 97850
Union County (541) 963-4139
JOSEPH L. PETRUSEK, M.D., P.C.
Otolaryngology
710 SUNSET DR, STE. D
LA GRANDE, OR 97850
Union County (541) 963-8643
KIM R. MONTEE, M.D., P.C.
Family Medicine
710 SUNSET DR, SUITE C
LA GRANDE, OR 97850
Union County (541) 963-4139
DR. JOSEPH LOUIS PETRUSEK M.D., P.C.
Otolaryngology
710 SUNSET DR, STE. D
LA GRANDE, OR 97850
Union County (541) 963-8643
MACEY CLARK PNP-C, AGNP-C
Nurse Practitioner (Family)
710 SUNSET DR, SUITE E
LA GRANDE, OR 97850
Union County (541) 962-5600
DONALD O. WARREN M.D.
Orthopaedic Surgery
710 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 663-3100
NICHOLAS GABRIEL VECE QMHA-I
Case Manager/Care Coordinator
710 SUNSET DR
LA GRANDE, OR 97850
Union County (541) 663-3150

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 Leslie Jackson's NPI number?

The NPI number for Leslie Jackson is 1972690774. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Dr. Leslie K Wilgus MD.

Where is Leslie Jackson located?

Leslie Jackson practices at 710 Sunset Dr, La Grande, OR 97850. The listed phone number is (541) 663-3000.

What is Leslie Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Leslie Jackson enrolled in Medicare?

Yes. Leslie 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 Leslie Jackson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Leslie 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 Leslie Jackson affiliated with any hospitals?

According to CMS data, Leslie Jackson is affiliated with Blue Mountain Hospital, Wallowa Memorial Hospital, St. Alphonsus Medical Center - Baker City, St Anthony Hospital and Grande Ronde Hospital.

When was this NPI record last updated?

The NPPES record for Leslie Jackson was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.