Scott Aaron Jackson, M.S., CCC-SLP
NPI 1356494934ActiveIndividual· Speech-Language Pathologist· Fairfield, CA
Speech-Language Pathologist (M.S., CCC-SLP) with Northbay Physicians Surgery Center, LLC and 1 other group, practicing in Fairfield, California. Medicare paid $45,574 for services to 173 patients in 2024.
Overview
| NPI | 1356494934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Apr 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 10401 | 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 - Qualified Speech Language Pathologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 547 across 8 procedure codes |
| Paid by Medicare | $45,574 |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical groups
- Northbay Physicians Surgery Center, LLCFairfield, CA · 324 clinicians
- Northbay Health Medical FoundationFairfield, CA · 213 clinicians
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All 61 speech-language pathologists in Fairfield · All speech-language pathologists in California