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EDWIN J JACKSON JR. DO
NPI 1972827335
Internal Medicine - Critical Care Medicine in Danville, IN

Active since March 15, 2010PECOS EnrolledAccepts Medicare Assignment
112 HOSPITAL LN STE 303, DANVILLE, IN 46122(317) 718-4000(317) 718-4005 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, May 19, 2022, Dec 3, 2021 and 4 more (7 updates tracked since 2017).

About Edwin J Jackson Jr. Do NPPES

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

EDWIN J JACKSON JR. DO (NPI 1972827335) is an individual critical care medicine provider in Danville, Indiana, licensed in Indiana (02005444A) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972827335
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameEDWIN J JACKSON JR.Credential: DO
Location Address112 HOSPITAL LN STE 303Danville, IN 46122
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 718-4000
Fax(317) 718-4005
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2010
Enumeration DateMarch 15, 2010
Last NPPES UpdateMarch 11, 20257 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1972827335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IN · 02005444A
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 02005444A (IN), 34. 010939 (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 34.010939 (OH), 02005444A (IN)
112 HOSPITAL LN STE 303, Danville, IN 46122
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Secondary Practice Locations 2

Location 1720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 808-2224 · Fax (317) 880-0000
Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Other000001612224IN · Anthem Ptan
Medicaid0093373OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Edwin J Jackson Jr. Do 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 ID1355585068
PECOS Enrollment IDI20180706000599
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 Reassignments

2

Medicare enrollment records show Edwin Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Diagnostic Associates, Inc.
18 mi
Internal Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 358 clinicians in this Medicare group
NPI 1861441537 (317) 274-8660
Iu Health Medical Group, LLC
18 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
124 services45 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.
30 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services20 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.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46122 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%32 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers13 claims13 services$794.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers83 claims83 services$62.20 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
6 suppliers65 claims65 services$27.90 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
5 suppliers28 claims1,380 services$6.73 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers14 claims1,980 services$0.08 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
4 suppliers24 claims1,110 services$0.80 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.

DR. LIRIM KRVESHI DO
Internal Medicine (Pulmonary Disease)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
SUMIT RISHI CHAWLA M.D.
Internal Medicine (Pulmonary Disease)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
SAMI ABUQAYYAS M.D.
Internal Medicine (Pulmonary Disease)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000
MR. BEAU PRESCOTT SEMLER NP
Nurse Practitioner (Gerontology)
112 HOSPITAL LN STE 303
DANVILLE, IN 46122
Hendricks County (317) 718-4000

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 Edwin Jackson's NPI number?

The NPI number for Edwin Jackson is 1972827335. It was assigned to this individual provider in the NPPES registry on March 15, 2010.

Where is Edwin Jackson located?

Edwin Jackson practices at 112 Hospital Ln Ste 303, Danville, IN 46122. The listed phone number is (317) 718-4000.

What is Edwin Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Edwin Jackson enrolled in Medicare?

Yes. Edwin 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 organizations bill Medicare for Edwin Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Jackson reassigns Medicare benefits to 2 organizations: University Medical Diagnostic Associates, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each 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 Edwin Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Edwin 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 Edwin Jackson affiliated with any hospitals?

According to CMS data, Edwin Jackson is affiliated with Eskenazi Health.

When was this NPI record last updated?

The NPPES record for Edwin Jackson was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.