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Jacob Cole Jackson, M.D.

NPI 1588907240ActiveIndividual· Anesthesiology· New York, NY

Anesthesiology (M.D.) with Memorial Anesthesiology Group and 2 other groups, practicing in New York, New York. Medicare paid $62,103 for services to 428 patients in 2024.

Overview

NPI1588907240
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedApr 1, 2013
Last updated in NPPESJun 12, 2025
Certified by providerJun 12, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Anesthesiology Primary207L00000X288525NY
Anesthesiology207L00000X25MA10388000NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Anesthesiology (NJ); Practitioner - Anesthesiology (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients428
Services billed509 across 67 procedure codes
Paid by Medicare$62,103

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyAnesthesiology

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Anesthesiology providers in New York

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