Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1568423267 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald Earl Jackson , DO

Surgery • Tulsa, OK

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ronald Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 31, 2006
NPI Deactivation Date November 30, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Jackson, DO was a registered Surgery practicing in Tulsa, OK. Throughout an active medical career spanning 15 years, Dr. Jackson provided care at the practice location at 6465 S YALE AVE until profile deactivation on 2021-11-30.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, removal of gallbladder using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6465 S Yale Ave
Suite 900

Tulsa, OK 741367822

Telephone 9184814800
Fax 9184814826
Associated Practice Facility / Clinic
🏢 O & P Associates Inc Facility NPI 1134182652

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
77 Specialists

Practicing in Tulsa, OK (386 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.6% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $445.00 $157.39

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 1910

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Shelley Capehart , MD

Colon & Rectal Surgery

NPI 1013941418

Doctor of Medicine (M.D.)

Jennifer Craig , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1063851863

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated November 30, 2021

Record deactivated on November 30, 2021

NPI Profile Active August 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2009

Registered at 6465 S YALE AVE, SUITE 900, TULSA, OK 741367822 (Tel: 9184814800)

📍
Updated Business Mailing Address August 13, 2009

Registered at 6465 S YALE AVE, SUITE 900, TULSA, OK 741367822 (Tel: 9184814800)

👤
Provider Name / Credentials Updated August 13, 2009

Recorded as RONALD JACKSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2009

Surgery (License #1910 in OK)

🟢
Initial NPI Registration & Enumeration March 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 Dr. Ronald Jackson. Be the first to share your experience!

Sign in to leave a review for Dr. Ronald Jackson

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

NPI Administrative Meta

NPI Number: 1568423267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2006
Last Update: August 13, 2009
Deactivation Date: November 30, 2021

Mailing Address

6465 S Yale Ave, Suite 900

Tulsa, OK 741367822

Phone: 9184814800

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.