Active NPI 1669424982 Individual Practitioner Male Practitioner

Dr. Roy Harper Jackson , MD

Internal Medicine • Pasadena, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Roy Jackson, MD is a certified Internal Medicine practicing in Pasadena, CA. With approximately 52 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1974, Dr. Jackson delivers high-quality medical care to the local community at 65 N MADISON AVE STE 709.

Dr. Jackson accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, established patient outpatient office visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

65 N Madison Ave Ste 709

Pasadena, CA 911012046

Telephone 6267924185

Fax 6267927358

Associated Practice Facility / Clinic

🏢 Roy Harper Jackson M D Inc Facility NPI 1659452092

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pasadena, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs +27.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

149 Specialists

Practicing in Pasadena, CA (18502 Statewide)

Telehealth Adoption Rate

32.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (52 Years) 52 Yrs

Pasadena Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	425	75	$144.00	$80.28
99213 Established patient office or other outpatient visit, typically 15 minutes	385	159	$126.44	$98.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	162	$323.47	$138.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	347	76	$115.00	$58.64
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	302	86	$210.00	$133.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	179	179	$300.00	$140.36
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	63	39	$89.00	$46.30
76700 Ultrasound of abdomen	47	46	$350.00	$131.43
76856 Complete ultrasound scan of pelvis	44	44	$325.00	$119.36
93880 Ultrasound of both sides of head and neck blood flow	35	34	$425.00	$217.19
93000 Routine ekg using at least 12 leads including interpretation and report	32	31	$65.00	$15.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$90.00	$61.98
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	31	30	$500.00	$221.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$425.00	$194.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	510	99	$115.00	$57.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	401	167	$325.00	$138.94
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	358	76	$144.00	$80.75
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	249	93	$210.00	$134.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	148	148	$300.00	$140.36
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	121	58	$89.00	$45.88
99213 Established patient office or other outpatient visit, typically 15 minutes	115	84	$124.92	$98.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	49	$421.48	$193.88
76700 Ultrasound of abdomen	50	49	$350.00	$134.14
93880 Ultrasound of both sides of head and neck blood flow	43	43	$425.00	$220.99
99443 Telephone medical discussion with physician, 21-30 minutes	40	28	$95.00	$93.91
93000 Routine ekg using at least 12 leads including interpretation and report	39	36	$65.00	$15.90
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	38	38	$500.00	$223.60
76856 Complete ultrasound scan of pelvis	37	36	$325.00	$121.66
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	13	13	$345.69	$196.24
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$350.00	$218.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	400	77	$115.00	$58.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	88	$325.00	$141.41
99335 Established patient assisted living visit, typically 25 minutes	124	33	$155.00	$102.34
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	90	44	$89.00	$45.79
99443 Telephone medical discussion with physician, 21-30 minutes	86	51	$95.00	$94.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$300.00	$144.69
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	63	26	$210.00	$137.11
99336 Established patient assisted living visit, typically 40 minutes	54	33	$219.00	$144.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	38	$421.35	$199.30
93000 Routine ekg using at least 12 leads including interpretation and report	22	19	$65.00	$15.97
76700 Ultrasound of abdomen	21	20	$350.00	$137.98
76856 Complete ultrasound scan of pelvis	21	19	$325.00	$124.93
93880 Ultrasound of both sides of head and neck blood flow	17	17	$425.00	$228.28
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	16	14	$350.00	$189.13
G0444 Annual depression screening, 5 to 15 minutes	15	15	$29.00	$20.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	395	81	$115.00	$59.03
99335 Established patient assisted living visit, typically 25 minutes	226	37	$155.00	$103.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	80	$324.41	$143.61
99443 Telephone medical discussion with physician, 21-30 minutes	198	74	$95.00	$95.00
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	192	42	$210.94	$138.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$300.00	$146.46
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	87	46	$89.00	$46.21
99336 Established patient assisted living visit, typically 40 minutes	78	30	$219.00	$145.99
99442 Telephone medical discussion with physician, 11-20 minutes	48	35	$75.00	$75.00
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$125.00	$101.43
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	24	13	$350.00	$191.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$425.00	$199.78
93000 Routine ekg using at least 12 leads including interpretation and report	20	18	$65.00	$16.58
76700 Ultrasound of abdomen	18	17	$350.00	$142.05
93880 Ultrasound of both sides of head and neck blood flow	17	17	$425.00	$235.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	16	16	$500.00	$236.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	429	91	$115.00	$59.62
99213 Established patient office or other outpatient visit, typically 15 minutes	399	113	$125.56	$83.51
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	391	62	$210.23	$140.56
99335 Established patient assisted living visit, typically 25 minutes	344	50	$155.00	$104.68
99442 Telephone medical discussion with physician, 11-20 minutes	109	61	$75.00	$75.12
99443 Telephone medical discussion with physician, 21-30 minutes	97	58	$95.00	$95.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	65	44	$89.00	$46.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	24	$325.00	$120.82
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	22	19	$342.64	$194.49
99344 New patient home visit, typically 1 hour	17	17	$301.00	$198.00
G0008 Administration of influenza virus vaccine	17	17	$50.00	$19.06
90682 Influenza vaccine, quadrivalent derived from recombinant dna	16	16	$75.00	$60.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$300.00	$128.33
93880 Ultrasound of both sides of head and neck blood flow	14	14	$425.00	$233.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	310	67	$115.00	$59.29
99335 Established patient assisted living visit, typically 25 minutes	272	34	$155.00	$103.16
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	237	47	$210.00	$139.76
99213 Established patient office or other outpatient visit, typically 15 minutes	221	75	$124.96	$82.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	41	$325.00	$120.48
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	50	30	$89.00	$46.32
93000 Routine ekg using at least 12 leads including interpretation and report	35	29	$65.00	$19.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$300.00	$129.48
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	28	22	$350.00	$193.44
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	26	25	$500.00	$238.22
76700 Ultrasound of abdomen	17	15	$350.00	$140.20
99344 New patient home visit, typically 1 hour	16	16	$300.94	$197.12
93880 Ultrasound of both sides of head and neck blood flow	14	14	$425.00	$235.23
76856 Complete ultrasound scan of pelvis	12	11	$325.00	$126.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	350	102	$125.27	$75.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	333	79	$115.00	$56.06
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	284	68	$210.67	$130.33
99335 Established patient assisted living visit, typically 25 minutes	264	36	$155.00	$96.20
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	107	96	$50.00	$44.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$300.00	$118.18
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	55	37	$89.00	$43.96
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	42	42	$500.00	$225.91
76700 Ultrasound of abdomen	38	38	$350.00	$132.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	29	$325.00	$111.63
93880 Ultrasound of both sides of head and neck blood flow	31	30	$425.00	$223.51
76856 Complete ultrasound scan of pelvis	26	26	$325.00	$119.63
93000 Routine ekg using at least 12 leads including interpretation and report	25	22	$65.00	$17.85
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	24	20	$350.00	$180.45
99344 New patient home visit, typically 1 hour	22	22	$300.95	$185.70
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$300.00	$172.83
G0008 Administration of influenza virus vaccine	16	16	$50.00	$23.13
90662 Influenza vaccine split virus, preservative free	15	15	$50.00	$48.62
99326 New patient assisted living visit, typically 45 minutes	12	12	$236.00	$140.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,275	201	$50.00	$45.87
99213 Established patient office or other outpatient visit, typically 15 minutes	381	101	$125.00	$79.66
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	355	75	$210.00	$137.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	304	71	$115.00	$59.24
99335 Established patient assisted living visit, typically 25 minutes	192	25	$155.00	$101.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$300.00	$125.65
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	84	42	$89.00	$45.97
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	52	50	$500.00	$258.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	37	$325.00	$117.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$301.43	$186.41
76700 Ultrasound of abdomen	31	31	$350.00	$139.22
93880 Ultrasound of both sides of head and neck blood flow	27	27	$425.00	$230.83
93000 Routine ekg using at least 12 leads including interpretation and report	25	23	$65.00	$18.80
76856 Complete ultrasound scan of pelvis	25	25	$325.00	$125.60
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	24	17	$347.67	$189.54
99344 New patient home visit, typically 1 hour	15	15	$297.60	$194.70

Medical Specialties & State Licenses

CMS Verified: 2021-04-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G30184

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G301840 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Garland Dodoo , MD

Internal Medicine

NPI 1043262421

Doctor of Medicine (M.D.)

Dr. Lillian Ngaw , MD

Internal Medicine

NPI 1154373538

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 21, 2021

Registered at 65 N MADISON AVE STE 709, PASADENA, CA 911012046 (Tel: 6267924185)

📍

Updated Business Mailing Address April 21, 2021

Registered at 65 N MADISON AVE STE 709, PASADENA, CA 911012046 (Tel: 6267924185)

✅

NPI Profile Active August 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 17, 2011

Registered at 65 NORTH MADISON AVENUE, SUITE 200, PASADENA, CA 911012051 (Tel: 6267924185)

📍

Updated Business Mailing Address August 17, 2011

Registered at 65 NORTH MADISON AVENUE, SUITE 200, PASADENA, CA 911012051 (Tel: 6267924185)

👤

Provider Name / Credentials Updated August 17, 2011

Recorded as ROY JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2011

Internal Medicine (License #G30184 in CA)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669424982

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 16, 2006

Last Update: April 21, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

65 N Madison Ave Ste 709

Pasadena, CA 911012046

Phone: 6267924185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.