Doctor profile · Federal record
Dr. Clark Jackson
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Lincoln, NE
- NPI 1053768945
- Accepts Medicare
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2500 S 60Th St Apt 21
Lincoln, NE 685063579
(402) 613-2633
Credentials & registration
- NPI registered
- May 2016 — 10 yrs on file
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Nebraska #70693
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053768945. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
226
Distinct HCPCS
6
Medicare allowed
$30,778
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00910 |
Anesthesia for other procedure on urinary system through urethra | 74 | 63 | $96 | |
00902 |
Anesthesia for procedure on anus and rectum | 46 | 43 | $131 | |
00918 |
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope | 43 | 43 | $160 | |
00912 |
Anesthesia for removal of urinary bladder tumors including use of an endoscope | 29 | 26 | $145 | |
01924 |
Anesthesia for x-ray on arteries | 23 | 21 | $197 | |
00873 |
Anesthesia for shock wave therapy for urinary system stones without water bath | 11 | 11 | $187 |
In context: peer comparison
Among 35 peers in this city , average services per provider: 35. This provider delivers 6.5× the peer median.Open Payments
Industry payments received
All-time total
$66
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 2 | $35.48 | |
| Boston Scientific Corporation | 1 | $16.34 | |
| Sumitomo Pharma America, Inc. | 1 | $14.03 |
By nature of payment
Frequently asked questions
What is Dr. Clark Jackson's medical specialty?
Dr. Clark Jackson practices Certified Registered Nurse Anesthetist in Lincoln, NE.
Where does Dr. Clark Jackson practice?
Dr. Clark Jackson practices at 2500 S 60Th St Apt 21, Lincoln, NE 685063579. Office phone: 4026132633.
What is Dr. Clark Jackson's NPI?
Dr. Clark Jackson's National Provider Identifier (NPI) is 1053768945, issued by NPPES.
Does Dr. Clark Jackson accept Medicare assignment?
Yes. Dr. Clark Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Clark Jackson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on urinary system through urethra (HCPCS 00910); Anesthesia for procedure on anus and rectum (HCPCS 00902); Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope (HCPCS 00918). Source: CMS Medicare Physician & Other Practitioners file.