Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598765083 Individual Practitioner Male Practitioner

Dr. Thomas Miles Jackson , MD

Surgery • La Junta, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jackson, MD is a certified Surgery practicing in La Junta, CO. With approximately 42 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1984, Dr. Jackson delivers high-quality medical care to the local community at 2201 SAN JUAN AVE.

Dr. Jackson is affiliated with Arkansas Valley Regional Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, diagnostic exam of large bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2201 San Juan Ave

La Junta, CO 810503323

Telephone 7193848181
Fax 7193844872
Associated Practice Facility / Clinic
🏢 Loma Vista Surgery Pc Facility NPI 1942298138

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in La Junta, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs Matches City Avg
City Avg: 42.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
2 Specialists

Practicing in La Junta, CO (635 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (42 Years) 42 Yrs
La Junta Specialty Average (42.0 Years) 42.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $222.20 $111.80

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR48817

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License KS 04-21320

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License AK 5568

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100131110B (KS)

Hospital & Practice Group Affiliations

Arkansas Valley Regional Medical Center

1100 Carson Ave, La Junta, CO 810502751

Phone: 7193845412

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1144252214

Doctor of Medicine (M.D.)

Vernice Ann Bautista , PA-C

Physician Assistant

NPI 1275654287

Physician Assistant (Certified)

Patricia Finkner , FNP

Nurse Practitioner

NPI 1396868469

Family Nurse Practitioner

NPI 1801917000

Doctor of Medicine (M.D.)

Patricia Johnson , FNP

Nurse Practitioner

NPI 1871614834

Family Nurse Practitioner

Aaron Schmucker , FNP

Nurse Practitioner - Family

NPI 1902260862

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2010

Registered at 2201 SAN JUAN AVE, LA JUNTA, CO 810503323 (Tel: 7193848181)

📍
Updated Business Mailing Address May 12, 2010

Registered at 1100 CARSON AVE, LA JUNTA, CO 810502751 (Tel: 7193835142)

👤
Provider Name / Credentials Updated May 12, 2010

Recorded as THOMAS JACKSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2010

Surgery (License #DR48817 in CO)

🟢
Initial NPI Registration & Enumeration July 26, 2005

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: 1598765083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2005
Last Update: May 12, 2010
Sole Proprietor: No

Mailing Address

1100 Carson Ave

La Junta, CO 810502751

Phone: 7193835142

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.