Dr. Darryl W. Jackson

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Darryl W. Jackson
Gender:	M
Provider License Number If Given:	4354

NPI Information:

NPI:	1801992243
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/15/2006
Last Update Date:	8/3/2010
Reputation Report:

Provider Business Mailing Address:

Address:	1322 KLABZUBA AVE Prague, OK 74864
Phone Number:	4055672295
Fax Number:	4055674905

Provider Business Practice Location Address:

Address:	1322 KLABZUBA ST Prague, OK 74864
Phone Number:	4055672295
Fax Number:	4055674905

Provider Taxonomy:

Primary:	207Q00000X
Secondary (if any):
State:	OK

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About Dr. Darryl W. Jackson

Dr. Darryl W. Jackson (DR. DARRYL W. JACKSON ) is Family Family Medicine Physician in Prague, OK. The NPI Number for Dr. Darryl W. Jackson is 1801992243.

The current location address for Dr. Darryl W. Jackson is 1322 KLABZUBA ST Prague, OK 74864 and the contact number is 4055672295 and fax number is 4055674905. The mailing address for Dr. Darryl W. Jackson is 1322 KLABZUBA AVE Prague, OK 74864- 4055672295 (mailing address contact number - 4055672295).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Darryl W. Jackson ?

Answer: The NPI Number for Dr. Darryl W. Jackson is 1801992243

Where is Dr. Darryl W. Jackson located?

Answer: Dr. Darryl W. Jackson is located at 1322 KLABZUBA ST Prague, OK 74864.

What is the specialty for Dr. Darryl W. Jackson ?

Answer: The Specialty of Dr. Darryl W. Jackson is Family Family Medicine Physician.

Are there any online reviews for Dr. Darryl W. Jackson ?

Answer: Yes! Check It Now.

Are there any other health care providers in Prague, OK?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Darryl W. Jackson

Number of HCPCS	4
Number of Medicare Beneficiaries	136
Number of Services	1001
Total Submitted Charge Amount	109081
Total Medicare Allowed Amount	72458.61
Total Medicare Payment Amount	54447.24
Total Medicare Standardized Payment Amount	60178.65
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	4
Number of Medicare Beneficiaries With Medical	136
Number of Medical Services	1001
Total Medical Submitted Charge Amount	109081
Total Medical Medicare Allowed Amount	72458.61
Total Medical Medicare Payment Amount	54447.24
Total Medical Medicare Standardized Payment Amount	60178.65
Average Age of Beneficiaries	67
Number of Beneficiaries Age Less 65	44
Number of Beneficiaries Age 65 to 74	60
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	77
Number of Male Beneficiaries	59
Number of Non-Hispanic White Beneficiaries	110
Number of Black or African American Beneficiaries	13
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	56
Number of Beneficiaries With Medicare Only Entitlement	80
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma	0.16
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.22
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.31
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.31
Percent (%) of Beneficiaries Identified With Depression	0.33
Percent (%) of Beneficiaries Identified With Diabetes	0.36
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.57
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.38
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.3564

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1447
Number of Standardized 30-Day Fills	1512.8333333
Aggregate Cost Paid for All Claims	77855.84
Number of Day's Supply for All Claims	42518
Number of Medicare Beneficiaries	219
Number of Claims, Including Refills, for Beneficiaries Age 65+	866
Including Refills, for Beneficiaries Age 65+	915.83333333
Beneficiaries Age 65+	50413.83
Number of Day's Supply for All Claims for Beneficaries Age 65+	25684
Number of Medicare Beneficiaries Age 65+	134
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	72
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	1375
Aggregate Cost Paid for Generic Drugs	47019.03
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	781
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	46643.84
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	666
Aggregate Cost Paid for Claims Filled by	31212
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	892
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	52981.65
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	555
by Low-Income Subsidy	24874.19
Total Claims of Opioid Drugs, Including	1168
Aggregate Cost Paid for Opioid Drugs	53310.16
Opioid Claims	208
Opioid_Tot_Clms divided by the Tot_Clms	80.718728404
Total Claims of Long-Acting Opioid Drugs	202
Aggregate Cost Paid for Long-Acting Opioid	20271.08
Number of Day's Supply of All Long-Acting	5692
Long-Acting Opioid Claims	38
Opioid_LA_Tot_Clms divided by the	17.294520548
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	65.369863014
Number of Beneficiaries Age Less Than 65	85
Number of Beneficiaries Age 65 to 74	91
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	127
Number of Male Beneficiaries	92
Number of Non-Hispanic White	163
Number of Black or African American	32
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	12
Number of American Indian/Alaskan NativeBeneficiaries	11
Number of Beneficiaries with Race Not
Only Entitlement	92
Average Hierarchical Condition Category	1.6111387352

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