Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578896031 Individual Practitioner Male Practitioner

Dr. Brandon T. Jackson , DC

Chiropractor • O Fallon, MO

Professional Overview & Biography Verified Profile Summary

Dr. Brandon Jackson, DC is a registered healthcare professional specializing in Chiropractor in O Fallon, MO. Practice services are available at 5551 WINGHAVEN BLVD STE 20 under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5551 Winghaven Blvd Ste 20

O Fallon, MO 633683618

Telephone 6366140401
Fax 6362650014
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in O Fallon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
74 Specialists

Practicing in O Fallon, MO (2674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
45 12 $45.00 $27.27

Medical Specialties & State Licenses

CMS Verified: 2022-04-02
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MO 2011014558

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh Number
12014762 (MO)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1275871592

Doctor of Chiropractic

NPI 1740531243

Doctor of Chiropractic

NPI 1922367515

Doctor of Chiropractic

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 02, 2022

Registered at 5551 WINGHAVEN BLVD STE 20, O FALLON, MO 633683618 (Tel: 6366140401)

📍
Updated Business Mailing Address April 02, 2022

Registered at 5551 WINGHAVEN BLVD STE 20, O FALLON, MO 633683618 (Tel: 6366140401)

NPI Profile Active September 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2011

Registered at 1258 BRYAN RD, O FALLON, MO 633663771 (Tel: 6366140401)

📍
Updated Business Mailing Address September 14, 2011

Registered at 1258 BRYAN RD, O FALLON, MO 633663771 (Tel: 6366140401)

👤
Provider Name / Credentials Updated September 14, 2011

Recorded as BRANDON JACKSON, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2011

Chiropractor (License #2011014558 in MO)

🟢
Initial NPI Registration & Enumeration September 15, 2009

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: 1578896031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2009
Last Update: April 02, 2022
Sole Proprietor: Yes

Mailing Address

5551 Winghaven Blvd Ste 20

O Fallon, MO 633683618

Phone: 6366140401

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.