NPI Details
Carol A Jackson, M.D. is an otolaryngology in Newport Beach, CA with 48 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Carol A Jackson, M.D. NPI is 1255434825. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:1978
The provider's business location address is:
361 HOSPITAL RD
STE 325
NEWPORT BEACH, CA
ZIP 92663-522
Phone: (949) 574-7744
Fax: (949) 642-3686
The NPI 1255434825 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.
- Test or measurement for functional capacity, each 15 minutes (HCPCS:97750)
- Exam of ear using a microscope (HCPCS:92504)
- Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Training for self-care or home management, each 15 minutes (HCPCS:97535)
- Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
- Comprehensive hearing and speech recognition test (HCPCS:92557)
- Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
- Test to assess hearing loss using different tone pitches (HCPCS:92575)
- Therapy procedure using sensory experiences (HCPCS:97533)
- Extended patient service without direct patient contact, first hour (HCPCS:99358)
- Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
- Test to assess electrical potentials generated in the inner ear as a result of sound stimulation (HCPCS:92584)
- Test for eardrum and muscle function (HCPCS:92550)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
- Extended patient service without direct patient contact, each additional 30 minutes (HCPCS:99359)
- Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report (HCPCS:92653)
- Removal of foreign body in ear canal (HCPCS:69200)
- Evaluation and testing for balance with recording (HCPCS:92540)
- Use of electrodes during balance testing (HCPCS:92547)
- Test to detect loudness differences (HCPCS:92562)
- Removal of bone, 20.0 sq cm or less (HCPCS:11044)
- Repositioning exercises of head for treatment of dizziness, each day (HCPCS:95992)
- Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
- Removal of growth in soft tissue of ear canal (HCPCS:69145)
- Test for abnormal eye movement using a rotating chair (HCPCS:92546)
- Test to assess balance during warm and cool irrigation in both ears (HCPCS:92537)
- Placement of ear probe for computerized measurement of repeated sounds with interpretation and report (HCPCS:92588)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 9/7/2006 and was last updated on 6/3/2009.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | G50085 | CALIFORNIA | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | A54901 | MEDICARE UPIN | CALIFORNIA | |
| 2 | G50085 | MEDICARE PIN | CALIFORNIA | |
