Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063524155 Individual Practitioner Male Practitioner

Christopher H Jackson , PA-C

Physician Assistant • Indian Lake, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Christopher Jackson, PA-C is a certified Physician Assistant practicing in Indian Lake, NY. With approximately 29 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 1997, Christopher Jackson delivers high-quality medical care to the local community at 6356 NYS ROUTE 30.

Christopher Jackson is affiliated with Hudson Headwaters Health Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, routine electrocardiogram (ecg) using at least 12 leads with tracing, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6356 Nys Route 30

Indian Lake, NY 128422021

Telephone 5186485707
Fax 5186486160
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Indian Lake, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs Matches City Avg
City Avg: 29.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Indian Lake, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (29 Years) 29 Yrs
Indian Lake Specialty Average (29.0 Years) 29.0 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
87804 Detection test by immunoassay with direct visual observation for influenza virus
22 11 $41.00 $16.22
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
20 20 $15.00 $5.86
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
19 18 $87.00 $34.62
81002 Urinalysis, manual test
19 17 $9.00 $3.41

Medical Specialties & State Licenses

CMS Verified: 2025-12-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 006846

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
02346647 (NY)

Hospital & Practice Group Affiliations

Hudson Headwaters Health Network

126 Ski Bowl Rd, North Creek, NY 128532607

Phone: 5182512541

Hudson Headwaters Health Network

24 Fairfield Ave, Schroon Lake, NY 128700292

Phone: 5185327120

Hudson Headwaters Health Network

6356 Nys Route 30, Indian Lake, NY 128422021

Phone: 5186485707

Secondary Practice Locations

126 Ski Bowl Rd

North Creek, NY 128532607

Phone: 5182512541

Career & Practice History Timeline

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

13 Historical Events
👤
Provider Name / Credentials Updated May 22, 2025

Recorded as CHRISTOPHER JACKSON, PA-C

📍
Updated Practice Location April 05, 2022

Registered at 6356 NYS ROUTE 30, INDIAN LAKE, NY 128422021 (Tel: 5186485707)

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 6356 NYS ROUTE 30, INDIAN LAKE, NY 128421500 (Tel: 5186485707)

📍
Updated Business Mailing Address February 10, 2017

Registered at 9 CAREY RD, QUEENSBURY, NY 128047880 (Tel: 5187610300)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as CHRISTOPHER JACKSON, RPA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Physician Assistant (License #006846 in NY)

NPI Profile Active October 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2010

Registered at MAIN STREET AND PELON ROAD, INDIAN LAKE, NY 128420684 (Tel: 5186485707)

📍
Updated Business Mailing Address October 26, 2010

Registered at 9 CAREY RD, QUEENSBURY, NY 128047880 (Tel: 5187610300)

👤
Provider Name / Credentials Updated October 26, 2010

Recorded as CHRISTOPHER JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2010

Physician Assistant (License #006846 in NY)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Christopher Jackson. Be the first to share your experience!

Sign in to leave a review for Christopher Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063524155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: December 29, 2025
Sole Proprietor: No

Mailing Address

9 Carey Rd

Queensbury, NY 128047880

Phone: 5187610300

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.