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DR. MATTHEW PATRICK JACKSON MD NPI 1083689855


NPI Information

NPI: 1083689855
Provider Name: DR. MATTHEW PATRICK JACKSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

PECOS Registration: Yes

Address:
1500 MCLAIN
NEWPORT, AR
ZIP 72112
Phone: (870) 523-9337
Get Directions

DR. Matthew Patrick Jackson, MD is a family medicine in Newport, AR with 26 years of experience. The provider is 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. DR. Matthew Patrick Jackson, MD NPI is 1083689855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1500 MCLAIN
NEWPORT, AR
ZIP 72112-638
Phone: (870) 523-9337
Fax: (870) 217-0312

The NPI 1083689855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Hemoglobin A1C level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Destruction of skin growth (HCPCS:17000)

The enumeration date for this NPI number is 2/23/2006 and was last updated on 1/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineE2332ARKANSASNo
2207Q00000XFamily MedicineE-2332ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H03268MEDICARE UPINARKANSAS
25L338OTHERARKANSASMEDICARE PROVIDER NUMBER
35L338MEDICARE PIN
4H03268MEDICARE UPIN
5138695001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.