Doctor profile · Federal record
Dr. JOHN JACKSON, M.D.
Family Medicine Physician · PROVO, UT
- NPI 1548321862
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1300 E CENTER ST
PROVO, UT 84606
(801) 344-4400 - Additional location
-
65 East 100 North
Gunnison, UT 84634
(435) 528-7752
fax (435) 528-7796 - Mailing address
-
PO BOX 270
PROVO, UT 846030270
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- December 5, 2019
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Utah #2763461205
- Medicaid (2)
- UT #870212456036 · UT #D0978
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548321862. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
24
Distinct HCPCS
1
Medicare allowed
$2,742
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 24 | 15 | $114 |
In context: peer comparison
Among 25 peers in this city , average services per provider: 73. This provider delivers 0.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
396
Patients
0
Total drug cost
$13,230
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 70 | 0 | $270 |
| Pantoprazole Sodium | Generic | 70 | 0 | $206 |
| Atorvastatin Calcium | Generic | 67 | 0 | $213 |
| Tamsulosin Hcl | Generic | 40 | 0 | $99 |
| Ibu (Ibuprofen) | Brand | 25 | 0 | $55 |
| Oxybutynin Chloride | Generic | 24 | 0 | $139 |
| Ursodiol | Generic | 23 | 0 | $701 |
| Fluticasone Propionate | Generic | 17 | 0 | $324 |
| Levetiracetam | Generic | 13 | 0 | $133 |
| Nitrofurantoin (Nitrofurantoin Macrocrystal) | Brand | 12 | 0 | $156 |