Doctor profile · Federal record
Dr. Shannon Jackson, MD
Internal Medicine Physician (CMS: Internal Medicine) · Portland, OR
- NPI 1558301168
- Accepts Medicare
- 23 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4805 Ne Glisan St
Portland, OR 972132933
(503) 215-2393 - Mailing address
-
Po Box 3158
Portland, OR 972083158
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- March 18, 2021
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Oregon #MD25874
- Medicaid
- OR #028116
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558301168. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
109
Distinct HCPCS
3
Medicare allowed
$18,118
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 79 | 79 | $176 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 17 | 13 | $117 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | 13 | $168 |
In context: peer comparison
Among 209 peers in Portland Internal Medicine Physician, average services per provider: 60. This provider delivers 1.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$294
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prochlorperazine Maleate | Generic | 13 | 0 | $294 |
Hospital affiliations
Frequently asked questions
What is Dr. Shannon Jackson's medical specialty?
Dr. Shannon Jackson practices Internal Medicine Physician in Portland, OR.
Where does Dr. Shannon Jackson practice?
Dr. Shannon Jackson practices at 4805 Ne Glisan St, Portland, OR 972132933. Office phone: 5032152393.
What is Dr. Shannon Jackson's NPI?
Dr. Shannon Jackson's National Provider Identifier (NPI) is 1558301168, issued by NPPES.
Does Dr. Shannon Jackson accept Medicare assignment?
Yes. Dr. Shannon Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Jackson commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.