Richard Jackson, PA-C
NPI 1174587505 · Surgical Physician Assistant · Port Charlotte, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Jackson, PA-C is a Surgical Physician Assistant provider in Port Charlotte, FL (NPI 1174587505).
Provider details
- NPI number
- 1174587505
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA2962 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Furosemide | 66 | 62 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 60 | 59 |
| Potassium Chloride | 57 | 55 |
| Metoprolol Tartrate | 55 | 50 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 50 | 48 |
| Amiodarone Hcl | 39 | 37 |
| Atorvastatin Calcium | 22 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2020-09-09
- Certified
- 2020-09-09
Frequently asked questions
- What is Richard Jackson's NPI number?
- Richard Jackson's National Provider Identifier (NPI) is 1174587505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Jackson's specialty?
- Richard Jackson is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Richard Jackson located?
- Richard Jackson's practice location on file with NPPES is 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742.
- What is Richard Jackson's phone number?
- The practice phone number listed in the NPPES registry for Richard Jackson is (941) 625-4270.
- Does Richard Jackson accept Medicare?
- Richard Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Jackson's NPI active?
- Yes — Richard Jackson's NPI (1174587505) is active in the NPPES registry as of the last update on 2020-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.