Individual provider Active NPI

James Lawrence Jackson, M.D.

  • Ophthalmology Physician
  • Midland, MI
National Provider Identifier
1427052091
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301050635 Issued in MI
Practice address
400 Joseph Dr Ste B
Midland, MI 48642-8636
Phone
(989) 631-2020
Fax
(989) 835-6686
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301050635 MI Primary

Addresses

Primary practice location

400 Joseph Dr Ste B
Midland, MI 48642-8636

Mailing address

400 Joseph Dr Ste B
Midland, MI 48642-8636
Phone (989) 631-2020

Other identifiers 6

IdentifierTypeStateIssuer
1805601441OtherMIBCBS
1427052091OtherMINPI
180032321OtherMIRAILROAD MEDICARE
0256160001OtherMIDMERC - MEDICARE
104430921OtherMIMEDICAID (GLADWIN OFFICE)
3103914MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20100301000771 MI Practitioner - Ophthalmology 7214978725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson and Bigelow MD PCGroup PAC ID 5294776704, 2 clinicians

Practice addresses (Care Compare)

609 Quarter St
Gladwin, MI 48624-1941
Phone (989) 631-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.98 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301050635MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson & Bigelow MD PC Ophthalmology CurrentSince Aug 1, 1994 Accepting new patients

Locations

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

4201 Campus Ridge Dr
Ste 2200
Midland, MI 48640
Phone (989) 631-2020

400 Joseph Dr
Ste B
Midland, MI 48642
Phone (989) 631-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1427052091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOSEPH DR STE B",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428636",
            "telephone_number": "989-631-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOSEPH DR STE B",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428636",
            "telephone_number": "989-631-2020",
            "fax_number": "989-835-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301050635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1805601441",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427052091",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180032321",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC - MEDICARE",
            "identifier": "0256160001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (GLADWIN OFFICE)",
            "identifier": "104430921",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103914",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.