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Roy Harper Jackson, M.D.

NPI 1669424982ActiveIndividual· Internal Medicine· Pasadena, CA

Internal Medicine (M.D.) in Pasadena, California, trained at University of Southern California Keck School of Medicine (class of 1974). Their prescriptions cost Medicare Part D more than their services did: $811,574 for 11,748 claims, against $189,410 paid for services in 2024.

Overview

NPI1669424982
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedMay 16, 2006
Last updated in NPPESApr 21, 2021
Certified by providerApr 21, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000XG30184CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Internal Medicine (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients249
Services billed2,363 across 29 procedure codes
Paid by Medicare$189,410

Part D prescriptions in 2024

Prescriptions (claims)11,748 · 17,963 30-day fills
Patients535
Total drug cost$811,574
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Southern California Keck School of Medicine
Graduation year1974
Medicare specialtyInternal Medicine
TelehealthOffers telehealth

Hospital affiliation

Other facilities

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

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