JOHN JACKSON III DO
NPI 1992850036
Family Medicine in Tomah, WI

Q: What is John Jackson's NPI number?

The NPI number for John Jackson is 1992850036. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is John Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Jackson was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment

505 GOPHER DR, TOMAH, WI 54660(608) 372-4111 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Oct 19, 2017 (2 updates tracked since 2017).

On this page

About John Jackson Iii Do NPPES

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

JOHN JACKSON III DO (NPI 1992850036) is an individual family medicine provider in Tomah, Wisconsin, licensed in Wisconsin (13156) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Mercyone Clinton Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992850036

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN JACKSON IIICredential: DO

Location Address505 GOPHER DRTomah, WI 54660-4513

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 372-4111

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1987

Enumeration DateJanuary 25, 2007

Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1992850036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 13156✔ Licensed in KS · 05-48753✔ Licensed in NE · 268✔ Licensed in OR · DO159668

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

505 GOPHER DR, Tomah, WI 54660

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Secondary Practice Locations 3

Location 1310 E Walnut StGarden City, KS 67846-5572 · Phone (620) 275-9752

Location 294244 Fourth StreetGold Beach, OR 97444-7756 · Phone (541) 247-3509 · Fax (541) 247-3530

Location 31721 Colfax StSchuyler, NE 68661-1400 · Phone (402) 352-3745

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, PacificSource Health Plans.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

John Jackson Iii 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 ID9234277708

PECOS Enrollment IDI20250703003189, I20251226002179

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 2

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

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160080

Location1410 North 4th StreetClinton, IA 52732 · Clinton County

Emergency services Birthing friendly

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521320

Location501 Gopher DrTomah, WI 54660 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 15

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

DR. MICHAEL ROUSHDY KHALIL M.D., F.A.C.S.

Surgery

505 GOPHER DR
TOMAH, WI 54660

Monroe County (608) 372-2181

KAYLA J GILMAN DNP, FNP-C

Nurse Practitioner (Family)

505 GOPHER DR
TOMAH, WI 54660

Monroe County (608) 372-4111

GUNDERSEN CLINIC, LTD.

Optometrist

505 GOPHER DR
TOMAH, WI 54660

Monroe County (608) 782-7300

MONTSERRAT S. DEL OLMO MD

Family Medicine

505 GOPHER DR
TOMAH, WI 54660

Monroe County (608) 372-4111

BRAD A JONES PA

Physician Assistant (Medical)

505 GOPHER DR
TOMAH, WI 54660

Monroe County (608) 372-4111

TUNYALUK BATCHAN LMFT

Marriage & Family Therapist

505 GOPHER DR
TOMAH, WI 54660

Monroe County (608) 372-4111

MICHELLE M. GAVIN GNP, BC

Nurse Practitioner (Gerontology)

505 GOPHER DR
TOMAH, WI 54660

Monroe County (608) 372-4111

JAYDE A THOMPSON

Physician Assistant (Surgical)

505 GOPHER DR
TOMAH, WI 54660

Monroe County (608) 372-4111

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 John Jackson's NPI number?

The NPI number for John Jackson is 1992850036. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is John Jackson located?

John Jackson practices at 505 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 372-4111.

What is John Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Jackson enrolled in Medicare?

Yes. John 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 John Jackson accept?

Health plans from Medica, Oscar Insurance Company and PacificSource Health Plans list John 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 John Jackson affiliated with any hospitals?

According to CMS data, John Jackson is affiliated with Mercyone Clinton Medical Center and Tomah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Jackson was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.