Farris Jackson JR.

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NPI Number Detailed Information

Provider Information:

Name:	Farris Jackson JR.
Gender:	M
Provider License Number If Given:	R9F09

NPI Information:

NPI:	1083618904
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/9/2005
Last Update Date:	2/10/2017

Provider Business Mailing Address:

Address:	11200 TESSON FERRY RD. STE 100 St Louis, MO 63123
Phone Number:	3148491500
Fax Number:	3148498789

Provider Business Practice Location Address:

Address:	11200 TESSON FERRY RD. STE 100 St Louis, MO 63123
Phone Number:	3148491500
Fax Number:	3148498789

Provider Taxonomy:

Primary:	174400000X
Secondary (if any):
State:	MO

Top Doctors in MO

About Farris Jackson JR.

Farris Jackson JR.( FARRIS JACKSON JR.) is An Specialist Physician in St Louis, MO. The NPI Number for Farris Jackson JR. is 1083618904.

The current location address for Farris Jackson JR. is 11200 TESSON FERRY RD. STE 100 St Louis, MO 63123 and the contact number is 3148491500 and fax number is 3148498789. The mailing address for Farris Jackson JR. is 11200 TESSON FERRY RD. STE 100 St Louis, MO 63123- 3148491500 (mailing address contact number - 3148491500).

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for Farris Jackson JR.?

Answer: The NPI Number for Farris Jackson JR. is 1083618904

Where is Farris Jackson JR. located?

Answer: Farris Jackson JR. is located at 11200 TESSON FERRY RD. STE 100 St Louis, MO 63123.

What is the specialty for Farris Jackson JR.?

Answer: The Specialty of Farris Jackson JR. is An Specialist Physician.

Are there any online reviews for Farris Jackson JR.?

Answer: Not yet!

Are there any other health care providers in St Louis, MO?

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 Farris Jackson JR.

Number of HCPCS	24
Number of Medicare Beneficiaries	267
Number of Services	943
Total Submitted Charge Amount	157667.3
Total Medicare Allowed Amount	83686.78
Total Medicare Payment Amount	64148.23
Total Medicare Standardized Payment Amount	64637.79
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65	38
Number of Beneficiaries Age 65 to 74	108
Number of Beneficiaries Age 75 to 84	96
Number of Beneficiaries Age Greater 84	25
Number of Female Beneficiaries	148
Number of Male Beneficiaries	119
Number of Non-Hispanic White Beneficiaries	250
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	36
Number of Beneficiaries With Medicare Only Entitlement	231
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.19
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.12
Percent (%) of Beneficiaries Identified With Asthma	0.22
Percent (%) of Beneficiaries Identified With Cancer	0.18
Percent (%) of Beneficiaries Identified With Heart Failure	0.38
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.52
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.55
Percent (%) of Beneficiaries Identified With Depression	0.35
Percent (%) of Beneficiaries Identified With Diabetes	0.34
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.69
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.48
Percent (%) of Beneficiaries Identified With Osteoporosis	0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.51
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.6233

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	1792
Number of Standardized 30-Day Fills	2684.8666667
Aggregate Cost Paid for All Claims	803377.14
Number of Day's Supply for All Claims	76861
Number of Medicare Beneficiaries	241
Number of Claims, Including Refills, for Beneficiaries Age 65+	1486
Including Refills, for Beneficiaries Age 65+	2320.3666667
Beneficiaries Age 65+	710740.19
Number of Day's Supply for All Claims for Beneficaries Age 65+	66645
Number of Medicare Beneficiaries Age 65+	215
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	1080
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	712
Aggregate Cost Paid for Generic Drugs	109967.77
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	1086
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	430274.61
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	706
Aggregate Cost Paid for Claims Filled by	373102.53
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	331
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	101008.57
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1461
by Low-Income Subsidy	702368.57
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	65
Aggregate Cost Paid for Antibiotic Drugs	708.1
Antibiotic Claims	36
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	73.124481328
Number of Beneficiaries Age Less Than 65	26
Number of Beneficiaries Age 65 to 74	110
Number of Beneficiaries Age 75 to 84	84
Number of Female Beneficiaries	144
Number of Male Beneficiaries	97
Number of Non-Hispanic White	220
Number of Black or African American	12
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	218
Average Hierarchical Condition Category	1.778680611

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