Kevin Gordon Jackson, M.D.
NPI 1225032782ActiveIndividual· Family Medicine, Geriatric Medicine· Phoenix, AZ
Family Medicine, Geriatric Medicine (M.D.) in Phoenix, Arizona, licensed in AZ, with an NPI issued in June 2005. Part D covered 15 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1225032782 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 11, 2005 |
| Last updated in NPPES | Apr 13, 2023 |
| Certified by provider | Apr 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | 22105 | AZ |
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 - Family Practice (AZ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 23 30-day fills |
|---|---|
| Total drug cost | $166.76 |
| Generic share | 93% of claims |
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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