Shawn Jackson, M,D,
NPI 1730258708 · Anatomic Pathology & Clinical Pathology Physician · Springfield, MO
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1730258708
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M,D,
- Sex
- Male
- Sole proprietor
- No
- License
- 2005005716 (MO)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
7,556 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 5,977 | $40 |
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 537 | $34 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 289 | $31 |
| Protein Measurement, Serum84165 | 140 | $16 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 86 | $84 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 70 | $27 |
Practice location
Mailing address
Additional practice locations (3)
- 3302 Gerig Dr Ste 100Bloomington, IL 61704-6343Phone: (309) 533-7070Fax: (855) 710-6552
- 1587 N Bolton Ave Ste 1300Alexandria, LA 71303-4255Phone: (318) 933-3376Fax: (318) 933-3377
- 1230 E Kingsley St Ste A&bSpringfield, MO 65804-7211Phone: (417) 336-0033Fax: (855) 710-6552
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.