BRYON JACKSON (MD) – Blood Banking & Transfusion Medicine Physician, NPI 1306990908

BRYON JACKSON (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 076898 (GA). The NPI Number for BRYON JACKSON (MD) is 1306990908

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
BRYON JACKSON (MD)
NPI
1306990908
Phone
(215) 662-3957
Address
3400 SPRUCE ST
Enumeration Date
22 January 2007
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103285555
Graduation Year
2006 (20 years ago)
PAC ID
4688956469
Group Practice PAC ID
7517853377
Professional Enrollment ID
I20190509000020
Address ID
MD212011544BA22XXXSTXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Digital endpointsOther names

897 PATHOLOGY in PA

Provider Addresses for BRYON JACKSON (MD)

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    1 MALONEY BUILDING

    PHILADELPHIA, PA 191044206

    Phone: (215) 662-3957

    Type: Mailing

  • 3400 Spruce St

    1 Maloney Building

    Philadelphia, PA 191044206

    Phone: (215) 662-3957

    Type: Location

  • 80 JESSE HILL JR DR SE DEPT OF

    ATLANTA, GA 303033031

    Phone: (404) 616-5800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,921.

Total Amount is formed as General ($1,921) + Research ($0) + Ownership ($0) = $1,921.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Cerus Corporation ($1,921).

Total Amount

$1,921

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,921

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Cerus Corporation$1,921
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: 2019-05-09

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
I20190509000020IPathologyMDTBD

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
84165Protein measurement, serum476294$0
86334Immunologic analysis technique on serum (immunofixation)386245$0
86077Blood bank physician services for cross match and/or evaluation and written report6363$0
84166Protein measurement, body fluid3939$0
86335Immunologic analysis technique on body fluid, other fluids with concentration2626$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 7517853377View full group profile
NameSpecialtyState
Pathology, HematologyCA
P A T H O L O G YMD
P A T H O L O G YMD
P A T H O L O G YMD
P A T H O L O G YNY
P A T H O L O G YUT
P A T H O L O G YMD
P A T H O L O G YMD
P A T H O L O G YMD
P A T H O L O G YMD

Reviews

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Frequently asked questions

How do payers reference BRYON JACKSON (MD)?
For BRYON JACKSON (MD), use NPI 1306990908 as the unique 10-digit identifier.
Is BRYON JACKSON (MD) still an active registrant?
BRYON JACKSON (MD) carries an active NPI according to the public dataset.
How would a patient describe BRYON JACKSON (MD)'s focus?
For BRYON JACKSON (MD), the primary taxonomy reads as Blood Banking & Transfusion Medicine Physician. Clinical services aligned with this taxonomy classification.
Is BRYON JACKSON (MD) associated with Philadelphia?
Public fields place BRYON JACKSON (MD) around Philadelphia, Pennsylvania. Always confirm the exact site before visiting.
Does BRYON 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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