Brian John Jackson, PA
NPI 1083198659ActiveIndividual· Physician Assistant· Lehigh Acres, FL
Physician Assistant (PA) with Intermountain Medical Group Grand Junction, LLC, practicing in Lehigh Acres, Florida. Mostly services rather than prescriptions: Medicare paid $1,107 for 14 patients in 2024, with only 12 Part D claims. Lists Intermountain Health St. Mary's Regional Hospital as a hospital affiliation.
Overview
| NPI | 1083198659 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 19, 2018 |
| Last updated in NPPES | Mar 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 9111499 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO); Practitioner - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 14 across 3 procedure codes |
| Paid by Medicare | $1,107 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Total drug cost | $207.32 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Intermountain Medical Group Grand Junction, LLCGrand Junction, CO · 296 clinicians
Hospital affiliation
- Intermountain Health St. Mary's Regional HospitalGrand Junction, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 physician assistants in Lehigh Acres · All physician assistants in Florida