John Jackson, M.D.
NPI 1063454122 · Diagnostic Radiology Physician · Boise, ID
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Jackson, M.D. is a Diagnostic Radiology Physician provider in Boise, ID (NPI 1063454122).
Provider details
- NPI number
- 1063454122
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M8926 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,658 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 245 | $8 |
| Ct Scan Head Or Brain Without Contrast70450 | 128 | $37 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 87 | $81 |
| Ct Scan of Blood Vessels of Head With Contrast70496 | 78 | $76 |
| Ct Scan of Blood Vessels of Neck With Contrast70498 | 72 | $73 |
| Ct Scan of Upper Spine Without Contrast72125 | 61 | $43 |
| Mri Scan of Brain Without Contrast |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2011-10-13
Frequently asked questions
- What is John Jackson's NPI number?
- John Jackson's National Provider Identifier (NPI) is 1063454122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Jackson's specialty?
- John Jackson is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is John Jackson located?
- John Jackson's practice location on file with NPPES is 1055 N Curtis Rd, Boise, ID 83706-1309.
- What is John Jackson's phone number?
- The practice phone number listed in the NPPES registry for John Jackson is (208) 367-2161.
- Does John Jackson accept Medicare?
- John Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Jackson's NPI active?
- Yes — John Jackson's NPI (1063454122) is active in the NPPES registry as of the last update on 2011-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.