Dr. Edward Leslie Jackson

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Edward Leslie Jackson
Gender:	M
Provider License Number If Given:	21925

NPI Information:

NPI:	1174506448
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	11/21/2005
Last Update Date:	12/27/2021
Reputation Report:

Provider Business Mailing Address:

Address:	PO BOX 1523 Fayetteville, AR 72702
Phone Number:	4795218200
Fax Number:	4795827310

Provider Business Practice Location Address:

Address:	3344 N FUTRALL DR Fayetteville, AR 72703
Phone Number:	4795218200
Fax Number:	4795827310

Provider Taxonomy:

Primary:	207RC0200X
Secondary (if any):	207RC0200X
State:	AR

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About Dr. Edward Leslie Jackson

Dr. Edward Leslie Jackson (DR. EDWARD LESLIE JACKSON ) is An Internal Medicine Physician in Fayetteville, AR. The NPI Number for Dr. Edward Leslie Jackson is 1174506448.

The current location address for Dr. Edward Leslie Jackson is 3344 N FUTRALL DR Fayetteville, AR 72703 and the contact number is 4795218200 and fax number is 4795827310. The mailing address for Dr. Edward Leslie Jackson is PO BOX 1523 Fayetteville, AR 72702- 4795218200 (mailing address contact number - 4795218200).

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Edward Leslie Jackson ?

Answer: The NPI Number for Dr. Edward Leslie Jackson is 1174506448

Where is Dr. Edward Leslie Jackson located?

Answer: Dr. Edward Leslie Jackson is located at 3344 N FUTRALL DR Fayetteville, AR 72703.

What is the specialty for Dr. Edward Leslie Jackson ?

Answer: The Specialty of Dr. Edward Leslie Jackson is An Internal Medicine Physician.

Are there any online reviews for Dr. Edward Leslie Jackson ?

Answer: Yes! Check It Now.

Are there any other health care providers in Fayetteville, AR?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Edward Leslie Jackson

Number of HCPCS	70
Number of Medicare Beneficiaries	851
Number of Services	2402
Total Submitted Charge Amount	394104
Total Medicare Allowed Amount	197469.62
Total Medicare Payment Amount	155355.42
Total Medicare Standardized Payment Amount	166455.74
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	5
Number of Medicare Beneficiaries With Drug Services	25
Number of Drug Services	150
Total Drug Submitted Charge Amount	5424
Total Drug Medicare Allowed Amount	3697.37
Total Drug Medicare Payment Amount	3237.26
Total Drug Medicare Standardized Payment Amount	3173.75
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	65
Number of Medicare Beneficiaries With Medical	851
Number of Medical Services	2252
Total Medical Submitted Charge Amount	388680
Total Medical Medicare Allowed Amount	193772.25
Total Medical Medicare Payment Amount	152118.16
Total Medical Medicare Standardized Payment Amount	163281.99
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	99
Number of Beneficiaries Age 65 to 74	357
Number of Beneficiaries Age 75 to 84	298
Number of Beneficiaries Age Greater 84	97
Number of Female Beneficiaries	453
Number of Male Beneficiaries	398
Number of Non-Hispanic White Beneficiaries	811
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	13
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	140
Number of Beneficiaries With Medicare Only Entitlement	711
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.23
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.18
Percent (%) of Beneficiaries Identified With Asthma	0.19
Percent (%) of Beneficiaries Identified With Cancer	0.17
Percent (%) of Beneficiaries Identified With Heart Failure	0.44
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.5
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.46
Percent (%) of Beneficiaries Identified With Depression	0.27
Percent (%) of Beneficiaries Identified With Diabetes	0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.61
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.58
Percent (%) of Beneficiaries Identified With Osteoporosis	0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.47
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.01
Percent (%) of Beneficiaries Identified With Stroke	0.12
Average HCC Risk Score of Beneficiaries	1.7784

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Pulmonary Disease
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1255
Number of Standardized 30-Day Fills	1574.1333333
Aggregate Cost Paid for All Claims	766361.87
Number of Day's Supply for All Claims	44076
Number of Medicare Beneficiaries	219
Number of Claims, Including Refills, for Beneficiaries Age 65+	1015
Including Refills, for Beneficiaries Age 65+	1292.7333333
Beneficiaries Age 65+	561580.17
Number of Day's Supply for All Claims for Beneficaries Age 65+	36340
Number of Medicare Beneficiaries Age 65+	189
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	997
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	258
Aggregate Cost Paid for Generic Drugs	10352.21
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	452
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	409832.43
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	803
Aggregate Cost Paid for Claims Filled by	356529.44
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	396
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	126735.99
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	859
by Low-Income Subsidy	639625.88
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	57
Aggregate Cost Paid for Antibiotic Drugs	1100.83
Antibiotic Claims	23
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	72.99086758
Number of Beneficiaries Age Less Than 65	30
Number of Beneficiaries Age 65 to 74	93
Number of Beneficiaries Age 75 to 84	77
Number of Female Beneficiaries	138
Number of Male Beneficiaries	81
Number of Non-Hispanic White	215
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement	170
Average Hierarchical Condition Category	1.6924718208

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