Doctor profile · Federal record
Dr. Michael Jackson, CRNA
Certified Registered Nurse Anesthetist · Saint Louis, MO
- NPI 1538149265
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
12639 Old Tesson RD Ste 130
Saint Louis, MO 631284814
(636) 386-7222
fax (636) 386-7810 - Additional location
-
10010 Kennerly RD
Saint Louis, MO 631282106 - Mailing address
-
Po Box 22407
Saint Louis, MO 631260407
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- January 30, 2026
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Missouri #106810
- Medicaid
- MO #913910147
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538149265. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
26
Distinct HCPCS
2
Medicare allowed
$2,787
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
01402 |
Anesthesia for procedure for total knee joint replacement | 15 | 15 | $138 | |
01400 |
Anesthesia for other procedure or exam of knee joint using an endoscope | 11 | 11 | $65 |
In context: peer comparison
Among 156 peers in this city , average services per provider: 32. This provider delivers 0.8× the peer median.Open Payments
Industry payments received
All-time total
$44
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Elite Orthopedics, Llc | 2 | $43.73 |
By nature of payment
Frequently asked questions
What is Dr. Michael Jackson's medical specialty?
Dr. Michael Jackson practices Certified Registered Nurse Anesthetist in Saint Louis, MO.
Where does Dr. Michael Jackson practice?
Dr. Michael Jackson practices at 12639 Old Tesson RD Ste 130, Saint Louis, MO 631284814. Office phone: 6363867222.
What is Dr. Michael Jackson's NPI?
Dr. Michael Jackson's National Provider Identifier (NPI) is 1538149265, issued by NPPES.
What procedures does Dr. Michael Jackson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for procedure for total knee joint replacement (HCPCS 01402); Anesthesia for other procedure or exam of knee joint using an endoscope (HCPCS 01400). Source: CMS Medicare Physician & Other Practitioners file.