JOHN JACKSON III DO
NPI 1992850036
Family Medicine in Tomah, WI
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
Specialties & Licenses
Secondary Practice Locations 3
Accepted 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
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.
Medicare Billing Reassignments
6Medicare enrollment records show John Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tomah, WI 54660
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Clinton, IA 52732
- Reassigned Medicare billing, Iowa enrollment
- 183 clinicians in this Medicare group
Wray, CO 80758
- Reassigned Medicare billing, Colorado enrollment
- 324 clinicians in this Medicare group
Clarksdale, MS 38614
- Reassigned Medicare billing, Mississippi enrollment
- 29 clinicians in this Medicare group
Payson, AZ 85541
- Reassigned Medicare billing, Arizona enrollment
- 9 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 538 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, IATomah Memorial Hospital
Critical Access Hospitals · Tomah, WIPhysician 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for John Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Jackson reassigns Medicare benefits to 6 organizations: Gundersen Clinic, Ltd. (Tomah, WI), Mercy Specialty Clinic (Clinton, IA), Banner Health Physicians Colorado LLC (Wray, CO), Northwest Miss Regional Medical Center (Clarksdale, MS), Banner Health (Payson, AZ) and 1 more organization, listed in the Medicare section above. 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 John Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Jackson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 9 other insurers 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 10 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.
# John Jackson III, DO · NPI 1992850036
Family Medicine physician in Tomah, Wisconsin. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1992850036 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 13156 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 GOPHER DR, Tomah, WI 54660-4513
- **Phone:** (608) 372-4111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Gundersen Clinic, Ltd. (NPI 1497708044, Tomah, WI); Mercy Specialty Clinic (NPI 1386832764, Clinton, IA); Banner Health Physicians Colorado LLC (NPI 1306185699, Wray, CO); Northwest Miss Regional Medical Center (NPI 1598458515, Clarksdale, MS); Banner Health (NPI 1063923340, Payson, AZ); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** December 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992850036) · Data from the CMS NPPES public registry.