FARRIS JR. JACKSON (MD) – Specialist, NPI 1083618904

FARRIS JR. JACKSON (MD) is a healthcare provider. based in St louis, Missouri. specializing in Specialist. They hold the professional credentials MD. They hold a License No. R9F09 (MO). The NPI Number for FARRIS JR. JACKSON (MD) is 1083618904

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
FARRIS JR. JACKSON (MD)
NPI
1083618904
Phone
(314) 849-1500
Address
11200 TESSON FERRY RD.
Enumeration Date
9 June 2005
Last Update Date
10 February 2017

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3146823630
Graduation Year
1982 (44 years ago)
PAC ID
3779675558
Group Practice PAC ID
9830123819
Professional Enrollment ID
I20070824000235
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for FARRIS JR. JACKSON (MD)

  • Tesson Ferry Road, Concord, Saint Louis County, Missouri, 63128, United States

    STE 100

    ST LOUIS, MO 631236922

    Phone: (314) 849-1500

    Fax: (314) 849-8789

    Mailing address matches the actual address.

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 $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2023-04-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($50).

Total Amount

$108

General + Research + Ownership

Payments

7

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-18

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes8266$0
99213Established patient office or other outpatient visit, 20-29 minutes4242$0
94726Test to determine lung volumes using sensors3030$0
94729Test to examine how well the lungs exchange gases2929$0
94060Test to measure expiratory airflow and volume changes before and after medication administration2626$0
View full utilization report →

Insurance plans in this area (ZIP 63123)

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Provider's Procedures

FARRIS JR. JACKSON (MD) performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEMO94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration4543

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: 9830123819View full group profile
NameSpecialtyState
Pulmonary DiseaseIL
Pulmonary DiseaseMO
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMO
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Interventional Pain ManagementMO
-MO

Reviews

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Frequently asked questions

What is FARRIS JR. JACKSON (MD)'s NPI number?
FARRIS JR. JACKSON (MD)'s NPI is 1083618904 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to FARRIS JR. JACKSON (MD)?
You should see FARRIS JR. JACKSON (MD) as active in CMS-hosted NPPES data.
What kind of doctor is FARRIS JR. JACKSON (MD)?
FARRIS JR. JACKSON (MD) is associated with Other Service Providers in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is FARRIS JR. JACKSON (MD) registered?
Use St Louis, Missouri as the headline location for FARRIS JR. JACKSON (MD) here.
Does FARRIS JR. 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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