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Richard T Jackson

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NPI Number Detailed Information

Provider Information:

Name: Richard T Jackson
Gender: M
Provider License Number If Given: 07000729A

NPI Information:

NPI: 1407859424
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/7/2016

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 2526
Fort Wayne, IN 46801
Phone Number: 2604368686
Fax Number: 2604368585

Provider Business Practice Location Address:

Address: 7601 W JEFFERSON BLVD
Fort Wayne, IN 46804
Phone Number: 2604368686
Fax Number: 2604868585

Provider Taxonomy:

Primary: 213E00000X
Secondary (if any):
State: IN

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About Richard T Jackson

Richard T Jackson ( RICHARD T JACKSON ) is A Podiatrist Physician in Fort Wayne, IN. The NPI Number for Richard T Jackson is 1407859424.
The current location address for Richard T Jackson is 7601 W JEFFERSON BLVD Fort Wayne, IN 46804 and the contact number is 2604368686 and fax number is 2604368585. The mailing address for Richard T Jackson is PO BOX 2526 Fort Wayne, IN 46801- 2604368686 (mailing address contact number - 2604368686).
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Provider Business Location on Map

FAQs:

What is the NPI Number for Richard T Jackson ?


Answer: The NPI Number for Richard T Jackson is 1407859424

Where is Richard T Jackson located?


Answer: Richard T Jackson is located at 7601 W JEFFERSON BLVD Fort Wayne, IN 46804.

What is the specialty for Richard T Jackson ?


Answer: The Specialty of Richard T Jackson is A Podiatrist Physician.

Are there any online reviews for Richard T Jackson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fort Wayne, IN?


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 Richard T Jackson

Number of HCPCS 34
Number of Medicare Beneficiaries 202
Number of Services 576
Total Submitted Charge Amount 99721
Total Medicare Allowed Amount 41556.65
Total Medicare Payment Amount 29866.8
Total Medicare Standardized Payment Amount 32169.23
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 3
Number of Medicare Beneficiaries With Drug Services 26
Number of Drug Services 34
Total Drug Submitted Charge Amount 710
Total Drug Medicare Allowed Amount 187.36
Total Drug Medicare Payment Amount 146.96
Total Drug Medicare Standardized Payment Amount 144.03
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 31
Number of Medicare Beneficiaries With Medical 202
Number of Medical Services 542
Total Medical Submitted Charge Amount 99011
Total Medical Medicare Allowed Amount 41369.29
Total Medical Medicare Payment Amount 29719.84
Total Medical Medicare Standardized Payment Amount 32025.2
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 22
Number of Beneficiaries Age 65 to 74 100
Number of Beneficiaries Age 75 to 84 53
Number of Beneficiaries Age Greater 84 27
Number of Female Beneficiaries 118
Number of Male Beneficiaries 84
Number of Non-Hispanic White Beneficiaries 185
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 22
Number of Beneficiaries With Medicare Only Entitlement 180
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.1
Percent (%) of Beneficiaries Identified With Asthma 0.15
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.22
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.44
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.29
Percent (%) of Beneficiaries Identified With Diabetes 0.39
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.7
Percent (%) of Beneficiaries Identified With Hypertension 0.71
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.43
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.62
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.4483

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 Podiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 110
Number of Standardized 30-Day Fills 113.8
Aggregate Cost Paid for All Claims 1700.33
Number of Day's Supply for All Claims 1693
Number of Medicare Beneficiaries 70
Number of Claims, Including Refills, for Beneficiaries Age 65+ 82
Including Refills, for Beneficiaries Age 65+ 82
Beneficiaries Age 65+ 533.8
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1110
Number of Medicare Beneficiaries Age 65+ 55
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 104
Aggregate Cost Paid for Generic Drugs 864.16
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 70
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1274.3
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 40
Aggregate Cost Paid for Claims Filled by 426.03
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 33
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1169.45
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 77
by Low-Income Subsidy 530.88
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 33
Aggregate Cost Paid for Antibiotic Drugs 224.86
Antibiotic Claims 26
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 68.3
Number of Beneficiaries Age Less Than 65 15
Number of Beneficiaries Age 65 to 74 40
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 37
Number of Male Beneficiaries 33
Number of Non-Hispanic White 61
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 54
Average Hierarchical Condition Category 1.3837101449

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