LEON S JACKSON (MD) – Diagnostic Radiology Physician, NPI 1285622175

LEON S JACKSON (MD) is a healthcare provider. based in La crosse, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 11348 (NV). The NPI Number for LEON S JACKSON (MD) is 1285622175

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
LEON S JACKSON (MD)
NPI
1285622175
Phone
(608) 788-8103
Address
2031 32ND ST S
Enumeration Date
13 October 2005
Last Update Date
24 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
5193798585
Group Practice PAC ID
4587576889
Professional Enrollment ID
I20100121000308
Address ID
CA961229406PO500XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

353 DIAGNOSTIC RADIOLOGY in NV

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Provider Addresses for LEON S JACKSON (MD)

  • 2031, 32nd Street South, Town of Shelby, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546017099

    Phone: (608) 788-8103

    Fax: (608) 788-8799

    Type: Mailing

  • Humboldt General Hospital, 118, East Haskell Street, Winnemucca, Humboldt County, Nevada, 89445, United States

    WINNEMUCCA, NV 894453247

    Phone: (608) 788-8103

    Fax: (608) 788-8799

    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: 2010-01-21

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
I20050426000397IDiagnostic RadiologyNVTBD
I20100121000308IDiagnostic RadiologyCATBD

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 view743594$0
71046X-ray of chest, 2 views369331$0
70450Ct scan head or brain without contrast269253$0
77067Screening mammography237237$0
77063Screening 3d breast mammography194194$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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Provider's Procedures

LEON S JACKSON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYNV73140X-ray of fingers, minimum of 2 views2622
RADIATION ONCOLOGYNV74177CT scan of abdomen and pelvis with contrast168160
RADIATION ONCOLOGYNV76830Ultrasound pelvis through vagina1818

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: 4587576889View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerCA
Endocrinology, Internal Medicine, EndocrinologyCA
Orthopedic SurgeryCA
Family PracticeCA
Family Practice, Emergency MedicineCA
Emergency MedicineCA
Emergency Medicine, Internal MedicineCA
Registered Dietitian Or Nutrition ProfessionalIL
-CA

Reviews

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Frequently asked questions

Does LEON S JACKSON (MD) have a public NPI I can cite?
Public records show LEON S JACKSON (MD) under NPI 1285622175.
Should I treat LEON S JACKSON (MD) as an active provider?
Patients and plans typically see LEON S JACKSON (MD) as active in the national extract.
What type of care does LEON S JACKSON (MD) provide?
LEON S JACKSON (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to LEON S JACKSON (MD)?
The directory associates LEON S JACKSON (MD) with La Crosse, Wisconsin. Check all listed addresses for suites or satellite offices.
Can I export LEON S JACKSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.