JOHN B JACKSON – Diagnostic Radiology Physician, NPI 1235324658

JOHN B JACKSON is a healthcare provider. based in Beaver, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. ME163263 (FL). The NPI Number for JOHN B JACKSON is 1235324658

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JOHN B JACKSON
NPI
1235324658
Phone
(724) 773-4567
Address
1000 Dutch Ridge Rd
Enumeration Date
10 September 2007
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
4048516577
Graduation Year
2003 (23 years ago)
PAC ID
2163594342
Group Practice PAC ID
4486555398
Professional Enrollment ID
I20080703000043
Address ID
PA160663774CR506XXDRXX300

Contacts

Secure Messaging
upmchospitals@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

2,563 DIAGNOSTIC RADIOLOGY in PA

Provider Addresses for JOHN B JACKSON

  • 1000 Dutch Ridge Rd

    DEPARTMENT OF RADIOLOGY

    Beaver, PA 150099727

    Phone: (724) 773-4567

    Type: Location

  • Heritage Valley Health System, 1000, Dutch Ridge Road, Toro, Brighton Township, Beaver County, Pennsylvania, 15009, United States

    DEPARTMENT OF RADIOLOGY

    BEAVER, PA 150099727

    Phone: (724) 773-4567

    Type: Location

  • Brodhead Road, Doctor Heights, Monaca, Beaver County, Pennsylvania, 15061, United States

    SUITE 201

    MONACA, PA 150613101

    Phone:

    Type: Mailing

  • 4016 SUN CITY CENTER BLVD

    SUN CITY CENTER, FL 335735256

    Phone: (813) 634-3301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080703000043IDiagnostic RadiologyPATBD
I20121110000122IDiagnostic RadiologyOHTBD

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
71045X-ray of chest, 1 view601551$0
71046X-ray of chest, 2 views259244$0
70450Ct scan head or brain without contrast195192$0
74177Ct scan of abdomen and pelvis with contrast163162$0
74176Ct scan of abdomen and pelvis without contrast9998$0
View full utilization report →

Insurance plans in this area (ZIP 15009)

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Provider's Procedures

JOHN B JACKSON performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYPA20610Aspiration and/or injection of large joint or joint capsule1313
DIAGNOSTIC RADIOLOGYPA73110X-ray of wrist, minimum of 3 views3529
DIAGNOSTIC RADIOLOGYPA73562X-ray of knee, 3 views1511
DIAGNOSTIC RADIOLOGYPA74177CT scan of abdomen and pelvis with contrast9087

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: 4486555398View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyGA
-GA
Diagnostic RadiologyME
Diagnostic RadiologyGA
Diagnostic RadiologyTX
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyDC
Interventional Radiology, Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyNY

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Frequently asked questions

What unique ID ties claims to JOHN B JACKSON?
NPI 1235324658 is assigned to JOHN B JACKSON under the national enumeration system.
Is JOHN B JACKSON's NPI currently valid?
The extract we use shows JOHN B JACKSON as active.
What field does JOHN B JACKSON work in?
You can think of JOHN B JACKSON as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN B JACKSON?
The page summarizes Beaver, Pennsylvania for JOHN B JACKSON; expand the address list for detail.
Is JOHN B JACKSON a real provider?
This page reflects official NPPES data for NPI 1235324658. Always confirm identity and privileges with the practice and licensing boards.