Samuel Jackson
NPI 1255794160 · Psychiatry Physician · Boston, MA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Jackson is a Psychiatry Physician provider in Boston, MA (NPI 1255794160).
Provider details
- NPI number
- 1255794160
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1023020 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
260 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 111 | $18 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 105 | $106 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 44 | $69 |
Typical Medicare-allowed amounts for these services range $18–$106 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bupropion Hclbrand: Bupropion Xl | 142 | 16 |
| Duloxetine Hcl | 96 | — |
| Quetiapine Fumarate | 88 | 13 |
| Aripiprazole | 65 | 13 |
| Trazodone Hcl | 63 | 12 |
| Escitalopram Oxalate | 54 | — |
| Lorazepam |
Practice location
Mailing address
Additional practice locations (1)
- 825 Eastlake Ave ESeattle, WA 98109-4405Phone: (206) 520-5000
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Samuel Jackson's NPI number?
- Samuel Jackson's National Provider Identifier (NPI) is 1255794160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Jackson's specialty?
- Samuel Jackson is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Jackson located?
- Samuel Jackson's practice location on file with NPPES is 1 Boston Medical Ctr Pl, Boston, MA 02118-2908.
- What is Samuel Jackson's phone number?
- The practice phone number listed in the NPPES registry for Samuel Jackson is (617) 414-5245.
- Does Samuel Jackson accept Medicare?
- Samuel Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Jackson's NPI active?
- Yes — Samuel Jackson's NPI (1255794160) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.