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Dr. Tracy P Jackson

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NPI Number Detailed Information

Provider Information:

Name: Dr. Tracy P Jackson
Gender: F
Provider License Number If Given: A97159

NPI Information:

NPI: 1154436590
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/19/2006

Last Update Date: 10/10/2022

Reputation Report:

Provider Business Mailing Address:

Address: 719 THOMPSON LN STE 22209
Nashville, TN 37204
Phone Number: 6153224311
Fax Number: 6153229089

Provider Business Practice Location Address:

Address: 2960 CAMINO DIABLO STE 105
Walnut Creek, CA 94597
Phone Number: 8008922695
Fax Number:

Provider Taxonomy:

Primary: 207LP2900X
Secondary (if any): 207LP2900X
State: CA

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About Dr. Tracy P Jackson

Dr. Tracy P Jackson (DR. TRACY P JACKSON ) is An Anesthesiology Physician in Walnut Creek, CA. The NPI Number for Dr. Tracy P Jackson is 1154436590.
The current location address for Dr. Tracy P Jackson is 2960 CAMINO DIABLO STE 105 Walnut Creek, CA 94597 and the contact number is 6153224311 and fax number is 6153229089. The mailing address for Dr. Tracy P Jackson is 719 THOMPSON LN STE 22209 Nashville, TN 37204- 8008922695 (mailing address contact number - 6153224311).
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Tracy P Jackson ?


Answer: The NPI Number for Dr. Tracy P Jackson is 1154436590

Where is Dr. Tracy P Jackson located?


Answer: Dr. Tracy P Jackson is located at 2960 CAMINO DIABLO STE 105 Walnut Creek, CA 94597.

What is the specialty for Dr. Tracy P Jackson ?


Answer: The Specialty of Dr. Tracy P Jackson is An Anesthesiology Physician.

Are there any online reviews for Dr. Tracy P Jackson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Walnut Creek, CA?


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. Tracy P Jackson

Number of HCPCS 17
Number of Medicare Beneficiaries 38
Number of Services 361
Total Submitted Charge Amount 65498
Total Medicare Allowed Amount 37193.79
Total Medicare Payment Amount 29796.62
Total Medicare Standardized Payment Amount 34453.18
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 17
Number of Medicare Beneficiaries With Medical 38
Number of Medical Services 361
Total Medical Submitted Charge Amount 65498
Total Medical Medicare Allowed Amount 37193.79
Total Medical Medicare Payment Amount 29796.62
Total Medical Medicare Standardized Payment Amount 34453.18
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 16
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 21
Number of Male Beneficiaries 17
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.42
Percent (%) of Beneficiaries Identified With Diabetes 0.37
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.55
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.29
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.63
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2095

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 Pain Management
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 396
Number of Standardized 30-Day Fills 422.7
Aggregate Cost Paid for All Claims 43260.6
Number of Day's Supply for All Claims 7917
Number of Medicare Beneficiaries 35
Number of Claims, Including Refills, for Beneficiaries Age 65+ 111
Including Refills, for Beneficiaries Age 65+ 135
Beneficiaries Age 65+ 17764.04
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3452
Number of Medicare Beneficiaries Age 65+ 20
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 77
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 319
Aggregate Cost Paid for Generic Drugs 25434.57
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 210
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 21456.49
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 186
Aggregate Cost Paid for Claims Filled by 21804.11
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 316
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 36867.35
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 80
by Low-Income Subsidy 6393.25
Total Claims of Opioid Drugs, Including 62
Aggregate Cost Paid for Opioid Drugs 5979.76
Opioid Claims 12
Opioid_Tot_Clms divided by the Tot_Clms 15.656565657
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 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
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 64.428571429
Number of Beneficiaries Age Less Than 65 15
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 19
Number of Male Beneficiaries 16
Number of Non-Hispanic White 29
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 16
Average Hierarchical Condition Category 1.4326

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