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Active NPI 1053324186 Individual Practitioner Male Practitioner

Tommy Lamar Jackson , PA-C

Physician Assistant • Tacoma, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tommy Jackson, PA-C is a certified Physician Assistant practicing in Tacoma, WA. With approximately 23 years of clinical experience since completing medical education in 2003, Tommy Jackson delivers high-quality medical care to the local community at 1802 YAKIMA AVE STE 204.

Tommy Jackson is affiliated with Franciscan Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1802 Yakima Ave Ste 204

Tacoma, WA 984055304

Telephone 2533828540

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tacoma, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +10.2 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
328 Specialists

Practicing in Tacoma, WA (3774 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (23 Years) 23 Yrs
Tacoma Specialty Average (12.8 Years) 12.8 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
16 16 $498.56 $144.64
99213 Established patient office or other outpatient visit, typically 15 minutes
16 16 $261.56 $77.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $376.00 $108.09
99442 Telephone medical discussion with physician, 11-20 minutes
12 12 $261.67 $76.63

Medical Specialties & State Licenses

CMS Verified: 2020-12-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60988499

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WA PA60988499

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License GA 004173

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2150243 (WA)

Hospital & Practice Group Affiliations

Franciscan Medical Group

34515 9th Ave S, Federal Way, WA 980036761

Phone: 2539447977

Franciscan Medical Group

11567 Canterwood Blvd Nw, Gig Harbor, WA 983325812

Phone: 2534266341

Franciscan Medical Group

1800 Nw Myhre Rd, Silverdale, WA 983837663

Phone: 5642401000

Franciscan Medical Group

1812 S J St, Tacoma, WA 984054965

Phone: 2534282200

Franciscan Medical Group

11511 Canterwood Blvd Nw, Gig Harbor, WA 983325813

Phone: 2536271244

Franciscan Medical Group

11511 Canterwood Blvd, Gig Harbor, WA 983325813

Franciscan Medical Group

1717 S J St, Tacoma, WA 984054933

Phone: 2534266341

Secondary Practice Locations

3650 Piper Street, Ste A

Anchorage, AK 99508

Phone: 9073399455

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Amit Kainth , MD

Surgery - Vascular Surgery

NPI 1033539903

Doctor of Medicine (M.D.)

Dr. Hao Vu , MD

Surgery - Vascular Surgery

NPI 1104050814

Doctor of Medicine (M.D.)

Dr. Daiva Nevidomskyte , MD

Surgery - Vascular Surgery

NPI 1164712931

Doctor of Medicine (M.D.)

Kathryn Landau , PA-C

Physician Assistant

NPI 1295846574

Physician Assistant (Certified)

Paul Vinogradski , PA-S

Physician Assistant - Surgical

NPI 1649991928

PAS

Robert Gantz , ARPN

Nurse Practitioner - Adult Health

NPI 1730103359

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address December 04, 2020

Registered at 1802 YAKIMA AVE STE 204, TACOMA, WA 984055304 (Tel: 2533828540)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2020

Physician Assistant (License #PA60988499 in WA)

📍
Updated Practice Location August 27, 2020

Registered at 1802 YAKIMA AVE STE 204, TACOMA, WA 984055304 (Tel: 2533828540)

📍
Updated Business Mailing Address March 25, 2020

Registered at 1802 YAKIMA AVE, STE 204, TACOMA, WA 984055304 (Tel: 2533828540)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Physician Assistant (License #PA60988499 in WA)

NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 3650 PIPER STREET, STE A, ANCHORAGE, AK 99508 (Tel: 9073399455)

📍
Updated Business Mailing Address August 10, 2016

Registered at 3650 PIPER STREET, STE A, ANCHORAGE, AK 99508 (Tel: 9073399455)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as TOMMY JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Physician Assistant (License #004173 in GA)

🟢
Initial NPI Registration & Enumeration August 13, 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: 1053324186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: December 04, 2020
Sole Proprietor: No

Mailing Address

1802 Yakima Ave Ste 204

Tacoma, WA 984055304

Phone: 2533828540

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.