Richard E. Jackson, PA-C
NPI 1174587505ActiveIndividual· Physician Assistant, Surgical· Port Charlotte, FL
Physician Assistant, Surgical (PA-C) with Smh Physician Services Inc, practicing in Port Charlotte, Florida. Part D covered 412 prescriptions written in 2024, 94% of them generic. Lists Sarasota Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1174587505 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Apr 13, 2006 |
| Last updated in NPPES | Sep 9, 2020 |
| Certified by provider | Sep 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA2962 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 412 · 419 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $2,324 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Smh Physician Services IncSarasota, FL · 784 clinicians
Hospital affiliation
- Sarasota Memorial HospitalSarasota, FL
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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