Active NPI 1184740045 Individual Practitioner Male Practitioner

Dr. Robert Elvon Jackson , MD

Urology • Meridian, ID

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jackson, MD is a certified Urology practicing in Meridian, ID. With approximately 20 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 2006, Dr. Jackson delivers high-quality medical care to the local community at 875 S VANGUARD WAY.

Dr. Jackson is affiliated with Urology Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

875 S Vanguard Way
Suite 200 D

Meridian, ID 83642

Telephone 2087826730

Fax 2087597822

Associated Practice Facility / Clinic

🏢 Intermountain Ambulatory Anesthesia Pllc Facility NPI 1073546289

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Meridian, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -2.9 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 20.7 Yrs

Regional Practice Density

22 Specialists

Practicing in Meridian, ID (68 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

60.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (20 Years) 20 Yrs

Meridian Specialty Average (22.9 Years) 22.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	227	187	$148.15	$60.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	67	$217.00	$89.95
81003 Automated urinalysis test	77	60	$9.82	$2.15
51798 Ultrasound measurement of bladder capacity after voiding	60	55	$30.20	$9.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$295.00	$122.67
52000 Diagnostic exam of bladder and urethra using an endoscope	57	50	$186.82	$72.16
99213 Established patient office or other outpatient visit, typically 15 minutes	53	50	$197.34	$77.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	40	$284.58	$115.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$373.27	$145.75
76872 Ultrasound scan of pelvic region through rectum	18	18	$87.00	$30.42
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	14	14	$1875.07	$755.40
52000 Diagnostic exam of bladder and urethra using an endoscope	14	14	$502.57	$181.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	293	228	$143.11	$62.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	92	$209.05	$92.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$291.40	$125.35
52000 Diagnostic exam of bladder and urethra using an endoscope	77	60	$198.47	$74.21
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$147.46	$61.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	26	$311.14	$135.39
74420 Imaging of urinary tract	25	18	$64.32	$22.86
99442 Telephone medical discussion with physician, 11-20 minutes	22	20	$192.00	$62.31
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$447.50	$142.85
76872 Ultrasound scan of pelvic region through rectum	15	15	$101.73	$31.01
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	13	$1038.28	$378.74
51741 Electronic assessment of bladder emptying	11	11	$19.27	$4.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$227.18	$78.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	295	224	$119.16	$63.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	77	$178.08	$93.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$272.66	$127.20
52000 Diagnostic exam of bladder and urethra using an endoscope	82	74	$191.10	$74.87
99442 Telephone medical discussion with physician, 11-20 minutes	44	37	$165.61	$62.96
51702 Simple insertion of temporary bladder tube	30	15	$58.00	$23.78
99443 Telephone medical discussion with physician, 21-30 minutes	25	20	$232.68	$93.06
74420 Imaging of urinary tract	18	14	$68.83	$22.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$259.50	$137.50
99441 Telephone medical discussion with physician, 5-10 minutes	16	15	$107.88	$33.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$393.16	$138.27
76872 Ultrasound scan of pelvic region through rectum	13	13	$87.85	$31.55
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$1588.00	$643.95
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1021.06	$380.86
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$146.00	$63.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	295	213	$97.44	$64.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	80	$149.94	$94.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$252.80	$129.15
52000 Diagnostic exam of bladder and urethra using an endoscope	61	53	$187.77	$75.85
99442 Telephone medical discussion with physician, 11-20 minutes	46	40	$113.91	$64.38
99443 Telephone medical discussion with physician, 21-30 minutes	23	18	$179.43	$95.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$209.58	$139.67
99441 Telephone medical discussion with physician, 5-10 minutes	18	16	$54.00	$34.22
76872 Ultrasound scan of pelvic region through rectum	16	16	$83.00	$32.03
51741 Electronic assessment of bladder emptying	14	13	$19.00	$4.07
52648 Laser vaporization of prostate including control of bleeding using an endoscope	11	11	$1975.09	$652.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	163	$96.37	$49.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	65	$148.00	$76.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$250.00	$124.74
52000 Diagnostic exam of bladder and urethra using an endoscope	59	54	$190.95	$78.79
99441 Telephone medical discussion with physician, 5-10 minutes	51	45	$48.00	$24.80
99442 Telephone medical discussion with physician, 11-20 minutes	32	30	$97.28	$49.77
74420 Imaging of urinary tract	19	13	$63.00	$25.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	14	$380.38	$126.77
76872 Ultrasound scan of pelvic region through rectum	12	12	$83.00	$33.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	338	223	$95.25	$49.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	124	$146.58	$75.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$242.11	$123.82
52000 Diagnostic exam of bladder and urethra using an endoscope	61	56	$275.29	$78.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$206.00	$106.98
74420 Imaging of urinary tract	20	17	$57.80	$25.26
76872 Ultrasound scan of pelvic region through rectum	16	16	$85.81	$33.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$396.83	$128.29
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$2348.25	$634.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$312.00	$161.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	292	187	$95.13	$48.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	108	$146.00	$74.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$240.00	$122.47
52000 Diagnostic exam of bladder and urethra using an endoscope	69	64	$308.05	$79.01
74420 Imaging of urinary tract	23	17	$364.91	$17.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$206.00	$105.72
51741 Electronic assessment of bladder emptying	14	13	$29.00	$4.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$852.51	$112.16
76872 Ultrasound scan of pelvic region through rectum	13	13	$86.00	$32.84
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1142.23	$435.07
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	11	$4108.40	$622.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	191	$95.00	$48.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$240.00	$122.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	65	$146.00	$74.61
52000 Diagnostic exam of bladder and urethra using an endoscope	53	48	$299.00	$92.92
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	39	12	$2264.87	$58.07
74420 Imaging of urinary tract	23	16	$618.52	$17.02
76872 Ultrasound scan of pelvic region through rectum	17	16	$86.00	$32.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$957.25	$116.32
51741 Electronic assessment of bladder emptying	14	12	$29.00	$4.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$45.00	$24.06
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$361.00	$145.04
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$2843.75	$217.50

Medical Specialties & State Licenses

CMS Verified: 2026-06-02

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License ID M-11868

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License MI 4301087650

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Urology

NUCC Taxonomy Code: 208800000X

State License MI 4301087650

Hospital & Practice Group Affiliations

Urology Clinic

875 S Vanguard Way, Meridian, ID 836428540

Phone: 2087826730

Practice Associates & Co-Workers

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

2 Associated Practitioners

Garrett Sweet , NURSE PRACTITIONER

Urology

NPI 1558040824

NURSEPRACTITIONER

Dr. Michael Taylor , MD

Urology

NPI 1689828162

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location June 02, 2026

Registered at 875 S VANGUARD WAY, SUITE 200 D, MERIDIAN, ID 83642 (Tel: 2087826730)

📍

Updated Business Mailing Address June 02, 2026

Registered at 875 S VANGUARD WAY, SUITE 200 D, MERIDIAN, ID 83642 (Tel: 2087826730)

👤

Provider Name / Credentials Updated June 02, 2026

Recorded as ROBERT JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2026

Student in an Organized Health Care Education/Training Program (License #4301087650 in MI)

✅

NPI Profile Active December 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2013

Registered at 520 S EAGLE RD, SUITE 3112, BOISE, ID 837126241 (Tel: 2083812222)

📍

Updated Business Mailing Address December 13, 2013

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083812222)

👤

Provider Name / Credentials Updated December 13, 2013

Recorded as ROBERT JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2013

Urology (License #4301087650 in MI)

🟢

Initial NPI Registration & Enumeration March 22, 2007

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: 1184740045

Entity Type:

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

Enumeration Date: March 22, 2007

Last Update: June 02, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

875 S Vanguard Way, Suite 200 D

Meridian, ID 83642

Phone: 2087826730

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.