Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Roy Harper Jackson , MD

Internal Medicine • Pasadena, CA

Active NPI 1669424982 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

65 N Madison Ave Ste 709
Pasadena, CA 911012046

Call 6267924185 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

65 N Madison Ave Ste 709

Pasadena, CA 911012046

Telephone 6267924185
Fax 6267927358
Organization at the Same NPPES Address or Phone
Roy Harper Jackson M D Inc Facility NPI 1659452092

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1974

Medicare patients

249 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $244,436 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $184,752 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

16,953 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$742,779 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.30 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

52 years (graduated 1974)

CMS Doctors and Clinicians data list 1974 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pasadena and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Pasadena, CA (2024, 73 clinicians with data). Median for this group: 469. Middle half: 171 to 1,452.

More Medicare Part B services than 85% of clinicians listed under Internal Medicine in California (2024, 8,005 clinicians with data). Median for this group: 547. Middle half: 197 to 1,242.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Pasadena, CA (2024, 73 clinicians with data). Median for this group: $55,294. Middle half: $19,537 to $148,970.

A higher Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in California (2024, 8,005 clinicians with data). Median for this group: $57,391. Middle half: $20,415 to $125,751.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Internal Medicine in Pasadena, CA (2024, 73 clinicians with data). Median for this group: $43,050. Middle half: $14,582 to $118,376.

A higher Medicare payment amount than 85% of clinicians listed under Internal Medicine in California (2024, 8,005 clinicians with data). Median for this group: $43,431. Middle half: $14,887 to $95,905.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Internal Medicine in Pasadena, CA (2024, 94 clinicians with data). Median for this group: 1,790. Middle half: 227 to 5,183.

More Part D prescriptions than 95% of clinicians listed under Internal Medicine in California (2024, 10,795 clinicians with data). Median for this group: 1,254. Middle half: 150 to 4,240.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Internal Medicine in Pasadena, CA (2024, 94 clinicians with data). Median for this group: $105,353. Middle half: $9,464 to $356,732.

A higher Part D drug cost than 85% of clinicians listed under Internal Medicine in California (2024, 10,795 clinicians with data). Median for this group: $88,105. Middle half: $7,557 to $307,080.

138 active clinicians are listed under Internal Medicine with a practice address in Pasadena, CA (17,717 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pasadena

34.8% of these 138 clinicians have the CMS telehealth indicator.

63.8% of these 138 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $19.30.

Manufacturer Payment Nature Product Type Amount ($)
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $19.30

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
425 75 $144.00 $80.28
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
385 159 $126.44 $98.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
383 162 $323.47 $138.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
347 76 $115.00 $58.64
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
302 86 $210.00 $133.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
179 179 $300.00 $140.36
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
63 39 $89.00 $46.30
76700 Complete ultrasound scan of abdomen
47 46 $350.00 $131.43
76856 Complete ultrasound scan of pelvis
44 44 $325.00 $119.36
93880 Ultrasound of both sides of head and neck blood flow
35 34 $425.00 $217.19
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
32 31 $65.00 $15.64
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
31 30 $500.00 $221.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
31 27 $90.00 $61.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
12 12 $425.00 $194.54

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 805 40,825 $6,033.40 148
Amlodipine Besylate Amlodipine Besylate 680 39,334 $3,268.81 146
Levothyroxine Sodium Levothyroxine Sodium 504 24,449 $4,816.67 85
Metformin Hcl Metformin Hcl 347 18,150 $2,392.67 72
Losartan Potassium Losartan Potassium 340 18,731 $2,415.98 70
Furosemide Furosemide 336 13,191 $1,238.42 61
Omeprazole Omeprazole 324 14,165 $2,480.68 61
Pantoprazole Sodium Pantoprazole Sodium 265 12,861 $2,092.08 60
Tamsulosin Hcl Tamsulosin Hcl 217 10,858 $2,974.64 42
Lisinopril Lisinopril 210 11,208 $1,179.44 37
Famotidine Famotidine 204 6,781 $1,382.95 26
Carvedilol Carvedilol 200 11,111 $1,624.07 43
Potassium Chloride Potassium Chloride 199 7,195 $2,409.51 33
Rosuvastatin Calcium Rosuvastatin Calcium 188 12,429 $2,930.89 51
Alendronate Sodium Alendronate Sodium 183 6,724 $1,021.12 25
Eliquis Apixaban 178 6,139 $116,996.80 34
Simvastatin Simvastatin 175 10,084 $1,438.58 40
Gabapentin Gabapentin 165 7,039 $2,021.45 39
Metoprolol Succinate Metoprolol Succinate 158 8,290 $1,922.94 35
Hydrochlorothiazide Hydrochlorothiazide 156 8,341 $646.64 33
Azithromycin Azithromycin 152 796 $610.13 104
Linzess Linaclotide 150 4,299 $73,828.39 17
Duloxetine Hcl Duloxetine Hcl 141 6,223 $2,227.92 32
Myrbetriq Mirabegron 138 4,207 $63,533.10 16
Allopurinol Allopurinol 137 6,640 $1,047.90 27

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-21
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES CA G30184

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00G301840 (CA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20100317000408

Enrollment State Jurisdiction

CA

PECOS Control ID

0143320473

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Garland Dodoo , MD

Internal Medicine

NPI 1043262421

Doctor of Medicine (M.D.)

Dr. Lillian Ngaw , MD

Internal Medicine

NPI 1154373538

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location April 21, 2021

Registered at 65 N MADISON AVE STE 709, PASADENA, CA 911012046 (Tel: 6267924185)

📍
Updated Business Mailing Address April 21, 2021

Registered at 65 N MADISON AVE STE 709, PASADENA, CA 911012046 (Tel: 6267924185)

âś…
NPI Profile Active August 17, 2011

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 17, 2011

Registered at 65 NORTH MADISON AVENUE, SUITE 200, PASADENA, CA 911012051 (Tel: 6267924185)

📍
Business Mailing Address (Initial Record) August 17, 2011

Registered at 65 NORTH MADISON AVENUE, SUITE 200, PASADENA, CA 911012051 (Tel: 6267924185)

👤
Provider Name / Credentials (Initial Record) August 17, 2011

Recorded as ROY JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2011

Internal Medicine (license number reported to NPPES: CA G30184)

🟢
Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669424982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2006
Last Update: April 21, 2021
Sole Proprietor: Yes

Other Internal Medicine Providers in Pasadena

All Internal Medicine Providers in Pasadena

Mailing Address

65 N Madison Ave Ste 709

Pasadena, CA 911012046

Phone: 6267924185

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.