Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245261064 Individual Practitioner Male Practitioner

Brian Gene Jackson , PA-C

Physician Assistant • La Jara, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Jackson, PA-C is a certified Physician Assistant practicing in La Jara, CO. With approximately 33 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 1993, Brian Jackson delivers high-quality medical care to the local community at 509 MAIN STREET.

Brian Jackson is affiliated with Lutheran Hospital Association Of The San Luis Valley and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

509 Main Street

La Jara, CO 81140

Telephone 7193762308
Fax 7193762395
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in La Jara, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs Matches City Avg
City Avg: 33.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
2 Specialists

Practicing in La Jara, CO (3810 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (33 Years) 33 Yrs
La Jara Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
50 44 $103.59 $43.65
20610 Aspiration and/or injection of fluid from large joint
30 26 $119.15 $43.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $166.88 $62.92

Medical Specialties & State Licenses

CMS Verified: 2021-04-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 843

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
07008436 (CO)

Hospital & Practice Group Affiliations

Lutheran Hospital Association Of The San Luis Valley

310 County Rd, Del Norte, CO 811328758

Phone: 7196572510

Lutheran Hospital Association Of The San Luis Valley

106 Blanca Ave, Alamosa, CO 811012340

Phone: 7195892511

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kalee Chavez-Miller , NP

Nurse Practitioner

NPI 1013350149

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2012

Registered at 509 MAIN STREET, LA JARA, CO 81140 (Tel: 7193762308)

📍
Updated Business Mailing Address October 01, 2012

Registered at 19021 US HIGHWAY 285, LA JARA, CO 811409410 (Tel: 7193762308)

👤
Provider Name / Credentials Updated October 01, 2012

Recorded as BRIAN JACKSON, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Physician Assistant (License #843 in CO)

🟢
Initial NPI Registration & Enumeration July 06, 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: 1245261064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: May 06, 2021
Sole Proprietor: No

Mailing Address

19021 Us Highway 285

La Jara, CO 811409410

Phone: 7193762308

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.