Doctor profile · Federal record
Dr. Roy Jackson, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Pasadena, CA
- NPI 1669424982
- Accepts Medicare
- 52 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
65 N Madison Ave Ste 709
Pasadena, CA 911012046
(626) 792-4185
fax (626) 792-7358
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- April 21, 2021
- Year of graduation
- 1974 — 52 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- California #G30184
- Medicaid
- CA #00G301840
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669424982. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,227
Distinct HCPCS
10
Medicare allowed
$234,191
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 510 | 99 | $58 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 401 | 167 | $139 | |
99348 |
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 358 | 76 | $81 | |
99349 |
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 249 | 93 | $135 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 148 | 148 | $140 | |
G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 121 | 58 | $46 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 115 | 84 | $98 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 54 | 49 | $194 | |
76700 |
Complete ultrasound scan of abdomen | 50 | 49 | $134 | |
93880 |
Ultrasound of both sides of head and neck blood flow | 43 | 43 | $221 |
In context: peer comparison
Among 31 peers in Pasadena Internal Medicine Physician, average services per provider: 151. This provider delivers 15× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
4,493
Patients
952
Total drug cost
$54,198
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 737 | 154 | $10,477 |
| Amlodipine Besylate | Generic | 635 | 143 | $4,816 |
| Levothyroxine Sodium | Generic | 472 | 83 | $8,105 |
| Omeprazole | Generic | 345 | 65 | $3,513 |
| Metformin Hcl | Generic | 305 | 69 | $2,989 |
| Furosemide | Generic | 274 | 61 | $1,197 |
| Losartan Potassium | Generic | 269 | 59 | $3,056 |
| Pantoprazole Sodium | Generic | 203 | 52 | $2,920 |
| Gabapentin | Generic | 199 | 47 | $3,713 |
| Alendronate Sodium | Generic | 189 | 24 | $1,826 |
Frequently asked questions
What is Dr. Roy Jackson's medical specialty?
Dr. Roy Jackson practices Internal Medicine Physician in Pasadena, CA.
Where does Dr. Roy Jackson practice?
Dr. Roy Jackson practices at 65 N Madison Ave Ste 709, Pasadena, CA 911012046. Office phone: 6267924185.
What is Dr. Roy Jackson's NPI?
Dr. Roy Jackson's National Provider Identifier (NPI) is 1669424982, issued by NPPES.
Does Dr. Roy Jackson accept Medicare assignment?
Yes. Dr. Roy Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Roy Jackson commonly perform?
Top Medicare-reported procedures in 2023: Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS G0180); Established patient office or other outpatient visit (HCPCS 99214); Residence visit for established patient with low level of medical decision making (HCPCS 99348). Source: CMS Medicare Physician & Other Practitioners file.