PAUL JACKSON (MD) – Neurological Surgery Physician, NPI 1770651291

PAUL JACKSON (MD) is a healthcare provider. based in Los altos, California. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. G85830 (CA). The NPI Number for PAUL JACKSON (MD) is 1770651291

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
PAUL JACKSON (MD)
NPI
1770651291
Phone
(650) 853-2919
Address
325 DISTEL CIR
Enumeration Date
1 December 2006
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6503695811
Graduation Year
1996 (30 years ago)
PAC ID
8325060486
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20060103000834
Address ID
CA940622751RE170XXPULG500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

795 NEUROSURGERY in CA

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Provider Addresses for PAUL JACKSON (MD)

  • 325, Distel Circle, Los Altos, Santa Clara County, California, 94022, United States

    LOS ALTOS, CA 940221408

    Phone: (650) 853-2919

    Type: Mailing

  • 795, El Camino Real, Palo Alto, Santa Clara County, California, 94301, United States

    PALO ALTO, CA 943012302

    Phone: (650) 321-4121

    Fax: (650) 853-4765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $624.

Total Amount is formed as General ($624) + Research ($0) + Ownership ($0) = $624.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: NuVasive, Inc. ($303).

Total Amount

$624

General + Research + Ownership

Payments

7

Total payment records

General Amount

$624

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060103000834INeurosurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes160160$0
99214Established patient office or other outpatient visit, 30-39 minutes138110$0
99213Established patient office or other outpatient visit, 20-29 minutes7966$0
22614Fusion of additional segment of spine3713$0
99205New patient office or other outpatient visit, 60-74 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 94022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How do payers reference PAUL JACKSON (MD)?
For PAUL JACKSON (MD), use NPI 1770651291 as the unique 10-digit identifier.
Would PAUL JACKSON (MD) appear as active to a payer?
You can treat PAUL JACKSON (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for PAUL JACKSON (MD)?
At a glance, PAUL JACKSON (MD) is tied to Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is PAUL JACKSON (MD) located near Los Altos?
PAUL JACKSON (MD) currently maps to Los Altos, California in this extract.
Does PAUL JACKSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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