Active NPI 1548236029 Individual Practitioner Female Practitioner

Dr. Kathleen Anne Jackson , MD

Internal Medicine • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Jackson, MD is a registered healthcare professional specializing in Internal Medicine in Springfield, OR. Practice services are available at 147 S 52ND PL under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, annual alcohol misuse screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

147 S 52nd Pl

Springfield, OR 974786210

Telephone 5417461166

Fax 5417466736

Associated Practice Facility / Clinic

🏢 Praxis Health, Pc Facility NPI 1932630365

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.5 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

36 Specialists

Practicing in Springfield, OR (2185 Statewide)

Telehealth Adoption Rate

2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.0% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	107	77	$442.04	$177.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$310.63	$125.82
83036 Hemoglobin A1C level	23	22	$22.05	$9.71
G0442 Annual alcohol misuse screening, 5 to 15 minutes	13	13	$46.20	$18.33
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$229.69	$89.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	238	115	$341.81	$143.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	65	$253.68	$106.96
83036 Hemoglobin A1C level	58	36	$22.05	$9.68
G0008 Administration of influenza virus vaccine	31	30	$35.80	$16.51
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$28.62	$19.58
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$172.14	$74.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$255.84	$115.52
G0442 Annual alcohol misuse screening, 5 to 15 minutes	16	16	$40.55	$18.09
G0444 Annual depression screening, 5 to 15 minutes	11	11	$23.32	$18.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	213	113	$341.81	$138.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	77	$253.68	$105.21
83036 Hemoglobin A1C level	39	26	$22.05	$10.57
99354 Prolonged office or other outpatient service first hour	31	26	$296.00	$127.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$255.84	$113.12
G0008 Administration of influenza virus vaccine	21	21	$34.00	$16.19
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$172.14	$72.46
99497 Advance care planning, first 30 minutes	19	19	$196.56	$83.21
90662 Influenza vaccine split virus, preservative free	19	19	$59.35	$53.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$496.68	$203.20
81003 Automated urinalysis test	14	11	$12.60	$2.44
G0009 Administration of pneumococcal vaccine	14	14	$27.00	$16.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	191	94	$342.62	$141.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	58	$253.68	$104.54
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$172.14	$71.34
G0008 Administration of influenza virus vaccine	23	23	$33.70	$19.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$496.68	$202.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$261.92	$114.02
90662 Influenza vaccine split virus, preservative free	20	20	$54.72	$52.30
99354 Prolonged office or other outpatient service first hour	17	14	$296.00	$128.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	81	$241.60	$104.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	56	$325.53	$139.22
99213 Established patient office or other outpatient visit, typically 15 minutes	57	45	$163.94	$71.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$473.03	$200.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$370.47	$159.99
G0008 Administration of influenza virus vaccine	30	30	$39.83	$24.61
90653 Vaccine for influenza for injection into muscle	18	18	$64.44	$49.22
83036 Hemoglobin A1C level	17	15	$21.00	$12.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$255.84	$112.51

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD17495

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

033147 (OR)

Practice Associates & Co-Workers

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

11 Associated Practitioners

Claire Exum , PA

Physician Assistant

NPI 1053952648

Physician Assistant

Dr. Graeme Marquez , MBBS

Internal Medicine

NPI 1245801588

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Steven Butdorf , MD

Family Medicine

NPI 1386696995

Doctor of Medicine (M.D.)

Dr. Stephan Ames , MD

Family Medicine

NPI 1437109154

Doctor of Medicine (M.D.)

Margot Underwood , PA-C

Physician Assistant - Medical

NPI 1508859968

Physician Assistant (Certified)

Dr. Magha Dissanayake , MD

Internal Medicine

NPI 1578545182

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2016

Registered at 147 S 52ND PL, SPRINGFIELD, OR 974786210 (Tel: 5417461166)

📍

Updated Business Mailing Address December 21, 2016

Registered at 147 S 52ND PL, SPRINGFIELD, OR 974786210 (Tel: 5417461166)

👤

Provider Name / Credentials Updated December 21, 2016

Recorded as KATHLEEN JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2016

Internal Medicine (License #MD17495 in OR)

🟢

Initial NPI Registration & Enumeration February 24, 2006

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: 1548236029

Entity Type:

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

Enumeration Date: February 24, 2006

Last Update: December 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

147 S 52nd Pl

Springfield, OR 974786210

Phone: 5417461166

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.