Active NPI 1518906320 Individual Practitioner Female Practitioner

Dr. Eileen Keenan Jackson , MD

Family Medicine • Moroni, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Eileen Jackson, MD is a certified Family Medicine practicing in Moroni, UT. With approximately 23 years of clinical experience since graduating from University Of Utah School Of Medicine in 2003, Dr. Jackson delivers high-quality medical care to the local community at 51 E MAIN ST..

Dr. Jackson is affiliated with Ihc Health Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

51 E Main St.

Moroni, UT 84646

Telephone 4354365250

Fax 4354365262

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Moroni, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs Matches City Avg

City Avg: 23.0 Yrs

State Avg: 20.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Moroni, UT (1451 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

43.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (23 Years) 23 Yrs

Moroni Specialty Average (23.0 Years) 23.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	135	$289.00	$121.18
99213 Established patient office or other outpatient visit, typically 15 minutes	195	122	$205.00	$86.00
36415 Insertion of needle into vein for collection of blood sample	149	122	$8.00	$7.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	148	148	$376.00	$123.00
83036 Hemoglobin A1C level	92	58	$19.00	$9.42
G0008 Administration of influenza virus vaccine	56	54	$38.55	$30.87
90662 Influenza vaccine split virus, preservative free	49	49	$90.00	$81.82
81003 Automated urinalysis test	15	15	$5.00	$2.20
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$261.00	$255.78
G0009 Administration of pneumococcal vaccine	11	11	$38.55	$30.87

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	258	134	$203.48	$121.86
99213 Established patient office or other outpatient visit, typically 15 minutes	232	146	$143.05	$86.04
36415 Insertion of needle into vein for collection of blood sample	179	137	$7.96	$7.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	167	167	$204.00	$122.56
83036 Hemoglobin A1C level	103	72	$19.00	$9.52
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	58	57	$88.14	$75.43
G0008 Administration of influenza virus vaccine	51	50	$38.41	$29.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	21	$43.00	$13.39
G0009 Administration of pneumococcal vaccine	24	23	$55.00	$29.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	23	12	$8.00	$1.55
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$145.00	$130.80
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	13	13	$200.00	$156.45
G0010 Administration of hepatitis b vaccine	13	13	$55.00	$29.33

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	353	183	$175.44	$121.67
99213 Established patient office or other outpatient visit, typically 15 minutes	343	202	$122.11	$87.00
36415 Insertion of needle into vein for collection of blood sample	191	148	$7.00	$2.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	169	$205.86	$123.98
83036 Hemoglobin A1C level	132	95	$19.00	$9.57
G0008 Administration of influenza virus vaccine	70	68	$43.74	$27.93
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	63	60	$88.22	$69.83
81003 Automated urinalysis test	34	26	$8.18	$2.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	25	$43.00	$13.66
20610 Aspiration and/or injection of fluid from large joint	23	13	$165.61	$55.53
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	14	$18.00	$5.63
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	14	12	$8.00	$1.71
0124A Fee covid-19 vac 13 res	13	13	$60.01	$36.86

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	407	205	$171.00	$124.09
99213 Established patient office or other outpatient visit, typically 15 minutes	287	183	$116.00	$88.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$219.00	$127.09
36415 Insertion of needle into vein for collection of blood sample	167	136	$7.00	$3.00
83036 Hemoglobin A1C level	123	92	$19.00	$9.71
G0008 Administration of influenza virus vaccine	77	77	$34.00	$16.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	13	$3.00	$1.29
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	72	72	$74.00	$66.43
81003 Automated urinalysis test	41	31	$11.15	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	17	$43.00	$13.59
20610 Aspiration and/or injection of fluid from large joint	23	15	$163.00	$54.32
G0009 Administration of pneumococcal vaccine	17	17	$34.00	$16.17
99443 Telephone medical discussion with physician, 21-30 minutes	16	12	$159.00	$125.69

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	485	228	$170.93	$104.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	219	219	$260.00	$111.23
99213 Established patient office or other outpatient visit, typically 15 minutes	219	158	$115.78	$72.47
36415 Insertion of needle into vein for collection of blood sample	217	172	$7.00	$2.97
83036 Hemoglobin A1C level	138	99	$18.00	$9.65
G0008 Administration of influenza virus vaccine	115	111	$33.95	$16.07
90662 Influenza vaccine split virus, preservative free	106	103	$76.48	$60.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	19	$43.00	$13.81
81003 Automated urinalysis test	27	23	$5.00	$2.24
G0009 Administration of pneumococcal vaccine	24	24	$33.00	$16.12
20610 Aspiration and/or injection of fluid from large joint	22	18	$157.00	$57.02
99443 Telephone medical discussion with physician, 21-30 minutes	22	21	$61.00	$60.69
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	19	11	$12.00	$7.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$157.00	$117.57
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$42.00	$41.72

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	580	250	$171.00	$106.26
36415 Insertion of needle into vein for collection of blood sample	233	165	$7.00	$2.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	214	214	$260.00	$113.13
99213 Established patient office or other outpatient visit, typically 15 minutes	177	131	$116.00	$72.91
83036 Hemoglobin A1C level	163	105	$27.00	$10.57
G0008 Administration of influenza virus vaccine	99	95	$33.00	$15.91
G0444 Annual depression screening, 5 to 15 minutes	97	97	$29.00	$17.57
90662 Influenza vaccine split virus, preservative free	89	85	$65.55	$54.60
81003 Automated urinalysis test	50	39	$11.00	$2.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	24	$43.00	$16.21
G0009 Administration of pneumococcal vaccine	36	36	$33.00	$15.91
96127 Assessment of emotional or behavioral problems	29	29	$11.00	$5.10
20610 Aspiration and/or injection of fluid from large joint	29	19	$153.00	$57.07
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$140.92	$108.50
71046 X-ray of chest, 2 views	23	20	$42.00	$18.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	20	11	$8.00	$1.82
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	15	11	$12.00	$6.82
90670 Pneumococcal vaccine for injection into muscle	13	13	$285.54	$208.71

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	653	281	$170.00	$104.04
36415 Insertion of needle into vein for collection of blood sample	238	173	$7.00	$2.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	197	197	$260.00	$111.22
83036 Hemoglobin A1C level	147	100	$27.00	$11.70
99213 Established patient office or other outpatient visit, typically 15 minutes	105	79	$115.00	$70.92
G0009 Administration of pneumococcal vaccine	79	79	$31.90	$19.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	15	$3.00	$1.82
G0008 Administration of influenza virus vaccine	54	53	$32.89	$19.49
81003 Automated urinalysis test	54	39	$11.00	$2.71
90662 Influenza vaccine split virus, preservative free	48	47	$59.50	$52.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	28	$43.00	$19.64
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	41	41	$118.24	$103.01
90670 Pneumococcal vaccine for injection into muscle	39	39	$253.77	$196.94
J1040 Injection, methylprednisolone acetate, 80 mg	21	11	$17.83	$12.29
20610 Aspiration and/or injection of fluid from large joint	20	14	$153.00	$58.34
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$287.00	$166.87
71046 X-ray of chest, 2 views	12	11	$42.00	$17.03

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	627	263	$170.00	$103.23
36415 Insertion of needle into vein for collection of blood sample	232	168	$6.98	$2.92
83036 Hemoglobin A1C level	104	74	$27.00	$12.95
99213 Established patient office or other outpatient visit, typically 15 minutes	75	56	$115.00	$70.66
G0008 Administration of influenza virus vaccine	66	65	$30.00	$23.60
G0009 Administration of pneumococcal vaccine	63	63	$30.00	$23.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$260.00	$111.51
90662 Influenza vaccine split virus, preservative free	59	58	$53.80	$46.61
81003 Automated urinalysis test	46	32	$11.00	$3.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	22	$43.00	$24.08
90670 Pneumococcal vaccine for injection into muscle	36	36	$248.25	$179.13
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$128.07	$92.31
71020 X-ray of chest, 2 views, front and side	22	20	$42.09	$15.10

Medical Specialties & State Licenses

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License UT 3687031205

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

1100 S Medical Dr, Mt Pleasant, UT 846472222

Phone: 8015073500

Ihc Health Services Inc

1100 S Medical Dr, Mount Pleasant, UT 846472222

Phone: 4354624169

Ihc Health Services Inc

51 E Main St, Moroni, UT 846460810

Phone: 4354365250

Ihc Health Services Inc

1100 S Medical Dr, Mt Pleasant, UT 846472222

Phone: 4354622441

Ihc Health Services Inc

159 N Main St, Manti, UT 846421257

Phone: 4358353344

Ihc Health Services Inc

525 N Main St, Ephraim, UT 846271155

Phone: 4352834076

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2015

Registered at 51 E MAIN ST., MORONI, UT 84646 (Tel: 4354365250)

📍

Updated Business Mailing Address March 23, 2015

Registered at 51 E MAIN ST., MORONI, UT 84646 (Tel: 4352834076)

👤

Provider Name / Credentials Updated March 23, 2015

Recorded as EILEEN JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2015

Family Medicine (License #3687031205 in UT)

🟢

Initial NPI Registration & Enumeration June 06, 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: 1518906320

Entity Type:

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

Enumeration Date: June 06, 2006

Last Update: March 23, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

51 E Main St.

Moroni, UT 84646

Phone: 4352834076

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.