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Active NPI 1447521539 Individual Practitioner Female Practitioner

Sasa K Jackson , PA-C

Physician Assistant • Moore, OK

Professional Overview & Biography Verified Profile Summary

Sasa Jackson, PA-C is a registered healthcare professional specializing in Physician Assistant in Moore, OK. Practice services are available at 1400 SE 4TH ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 Se 4th St
Ste H

Moore, OK 731607329

Telephone 4057997400
Fax 4057997405
Associated Practice Facility / Clinic
🏢 Moore Primary Care Inc Facility NPI 1063536233

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Moore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Moore, OK (1911 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.7% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
63 59 $1487.00 $139.75
99284 Emergency department visit with moderate level of medical decision making
33 25 $1016.00 $96.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
20 20 $80.00 $6.41
99283 Emergency department visit with low level of medical decision making
18 12 $652.00 $56.73

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 2107

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Mandi Rhodes , PA-C

Physician Assistant - Medical

NPI 1114153293

Physician Assistant (Certified)

NPI 1528418175

Doctor of Osteopathic Medicine (D.O.)

Kay Rochester , PA-C

Physician Assistant

NPI 1871863712

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2012

Registered at 1400 SE 4TH ST, STE H, MOORE, OK 731607329 (Tel: 4057997400)

📍
Updated Business Mailing Address January 20, 2012

Registered at 1400 SE 4TH ST, STE H, MOORE, OK 731607329 (Tel: 4057997400)

👤
Provider Name / Credentials Updated January 20, 2012

Recorded as SASA JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2012

Physician Assistant (License #2107 in OK)

🟢
Initial NPI Registration & Enumeration January 20, 2012

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: 1447521539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2012
Last Update: January 20, 2012
Sole Proprietor: No

Mailing Address

1400 Se 4th St, Ste H

Moore, OK 731607329

Phone: 4057997400

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.