Tyler Pembroke Jackson, MD
NPI 1295355816ActiveIndividual· Emergency Medicine· Santa Monica, CA
Emergency Medicine (MD) in Santa Monica, California, trained at University of Utah School of Medicine (class of 2020). 192 Medicare patients in 2024, $26,588 paid; all of their 89 Part D prescriptions were generic.
Overview
| NPI | 1295355816 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 23, 2020 |
| Last updated in NPPES | Feb 2, 2026 |
| Certified by provider | Feb 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | A196288 | CA |
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 - Emergency Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 192 |
|---|---|
| Services billed | 302 across 22 procedure codes |
| Paid by Medicare | $26,588 |
Part D prescriptions in 2024
| Prescriptions (claims) | 89 · 92 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $253.64 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Emergency Medicine |
| Secondary specialties | Sports Medicine |
Medical group
- Regents of the University of CaliforniaSanta Monica, CA · 70 clinicians
Hospital affiliations
- Ronald Reagan UCLA Medical CenterLos Angeles, CA
- Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA
Other facilities
- Sunny Days Home Care, Inc.Home health agency · Glendale, CA
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 60 emergency medicine physicians in Santa Monica · All emergency medicine physicians in California