John Jackson III, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13156 Issued in WI

Practice address

505 Gopher Dr
Tomah, WI 54660-4513

Phone

(608) 372-4111

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, IA, WI3 enrollments

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 3

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Specialty ClinicGroup PAC ID 3375639586, 65 clinicians

Northwest Miss Regional Medical CenterGroup PAC ID 3173969177, 20 clinicians

Gundersen Clinic LTDGroup PAC ID 9638082779, 422 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
• Tomah Memorial Hospital Hospital, Tomah, WI, CCN 521320

Merit-based Incentive Payment System (MIPS)

Final score

30.79 of 100Reported as group

Quality

29.28

Promoting interoperability

0

Improvement activities

0

Cost

69.49

Merit-based Incentive Payment System (MIPS)

Final score

98.15 of 100Reported as apm

Quality

88.15

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.jackson.1@29904.direct.athenahealth.com
• FHIR API: https://fhir.yourcareuniverse.net/tenant/0c0c63aa-c0e5-4256-b638-969087e4db15

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.

• Mercy Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Clinton, IA
  • NPI 1386832764
  Medicare reassignment Care Compare group NPD
• Northwest Miss Regional Medical Center

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1598458515

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115
  Medicare reassignment Care Compare group NPD (past)
• Gundersen Clinic LTD

  • Community/Retail Pharmacy
  • La Crosse, WI
  • NPI 1548710627
  NPD
• Gundersen Lutheran Express Care, Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1043446974
  NPD
• Medical Associates of Clinton, Iowa P.L.C.

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1841244431
  NPD
• Mercy Specialty Clinic

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1275197998
  NPD
• Northwest Miss Regional Medical Center

  • Emergency Medicine Physician
  • Clarksdale, MS
  • NPI 1699468686
  NPD
• Curry Health District

  • Critical Access Hospital Clinic/Center
  • Gold Beach, OR
  • NPI 1346486818
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Gundersen Clinic, LTD.

  • Clinic/Center
  • Calmar, IA
  • NPI 1306890959
  NPD (past)
• Mercy Medical Center-Clinton, Inc

  • General Acute Care Hospital
  • Clinton, IA
  • NPI 1427093962
  NPD (past)

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

• Tomah Memorial Hospital Inc

  • Critical Access Hospital
  • Tomah, WI
  • NPI 1184765240
  Care Compare affiliation
• Mercy Medical Center-Clinton, Inc

  • General Acute Care Hospital
  • Clinton, IA
  • NPI 1427093962
  Care Compare affiliation

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1992850036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GOPHER DR",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546604513",
            "telephone_number": "608-372-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465572",
            "country_code": "US",
            "telephone_number": "620-275-9752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94244 Fourth Street",
            "address_purpose": "LOCATION",
            "city": "Gold Beach",
            "state": "OR",
            "postal_code": "974447756",
            "country_code": "US",
            "telephone_number": "541-247-3509",
            "fax_number": "541-247-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 Colfax St",
            "address_purpose": "LOCATION",
            "city": "Schuyler",
            "state": "NE",
            "postal_code": "686611400",
            "country_code": "US",
            "telephone_number": "402-352-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOHN",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "13156",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-48753",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "268",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO159668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Kay Hydo, R.N.
• Kimberly A. Idland, RN
• Barbara Ellen Iwanowicz
• Danielle Jackson, BSN, RN
• Erin Jackson
• Christine E Jacobsen, MD
• Trisha A Jacox, APNP
• Brian James
• Lisa Renae Jefferson, CAPSW
• Megan Jo Jensen

• Family Medicine Physician in Tomah, WI
• Providers in Tomah, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.