David W. Jackson, M.D.

Primary specialty

Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X

License

22766 Issued in OK

Practice address

10601 N May Ave
Oklahoma City, OK 73120-2612

Phone

(405) 286-2688

Fax

(405) 849-6152

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of New Mexico School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Medical Center, LLC Hospital, Edmond, OK, CCN 370225

Merit-based Incentive Payment System (MIPS)

Final score

84.78 of 100Reported as group

Quality

73.92

Promoting interoperability

100

Improvement activities

40

Cost

75.36

Merit-based Incentive Payment System (MIPS)

Final score

61.14 of 100Reported as individual

Quality

0

Promoting interoperability

100

Improvement activities

40

Cost

70.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: djackson71264@ouhealth.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oklahoma Eye Associates PLLC

  • Cornea and External Diseases Specialist Physician
  • Oklahoma City, OK
  • NPI 1023894094
  Medicare reassignment NPD Authorized official
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1114996576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202612",
            "telephone_number": "405-286-2688",
            "fax_number": "405-849-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202612",
            "telephone_number": "405-286-2688",
            "fax_number": "405-849-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DAVID",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "22766",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "OK",
            "license": "22766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Dustin Jackson, MA, LPC
• Christi Marie Jackson, RN IMMUNIZATION
• Christine Jackson
• Claire Zimmerman Jackson, MA, CCC-SLP
• David Duane Jackson
• Demetra Shan Jackson, B.S.
• Dezjuan Vonte Jackson
• Dwight L Jackson
• Elizabeth Ann Jackson, APRN-CNS
• Erin Elizabeth Jackson, MSW

• Cornea and External Diseases Specialist Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Cornea and External Diseases Specialist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.