Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Robert Elvon Jackson , MD

Urology • Meridian, ID

Active NPI 1184740045 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

875 S Vanguard Way, Suite 200 D
Meridian, ID 83642

Call 2087826730 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

875 S Vanguard Way
Suite 200 D

Meridian, ID 83642

Telephone 2087826730
Fax 2087597822
Organization at the Same NPPES Address or Phone

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

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Urology Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2006

Medicare patients

374 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 $59,802 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 $42,626 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

3,047 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

$108,868 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.

Open Payments general payments, program year 2025

All general payments: $303.76 across 12 records.

By nature of payment

  • Food and Beverage: $303.76 across 12 records.

Reporting-company totals (3 largest of 7)

  • Boston Scientific Corporation: $114.76 across 4 records.
  • Endo USA, Inc.: $47.36 across 2 records.
  • Janssen Pharmaceuticals, Inc: $31.63 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 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

2007

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 Meridian and Idaho

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 70% of clinicians listed under Urology in Meridian, ID (2024, 16 clinicians with data). Median for this group: 1,736. Middle half: 728 to 5,240.

Fewer Medicare Part B services than 70% of clinicians listed under Urology in Idaho (2024, 43 clinicians with data). Median for this group: 1,716. Middle half: 688 to 3,975.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Urology in Meridian, ID (2024, 16 clinicians with data). Median for this group: $112,915. Middle half: $70,340 to $179,142.

A lower Medicare-allowed amount than 80% of clinicians listed under Urology in Idaho (2024, 43 clinicians with data). Median for this group: $122,783. Middle half: $68,828 to $178,181.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Urology in Meridian, ID (2024, 16 clinicians with data). Median for this group: $84,172. Middle half: $53,312 to $139,203.

A lower Medicare payment amount than 80% of clinicians listed under Urology in Idaho (2024, 43 clinicians with data). Median for this group: $91,218. Middle half: $51,640 to $137,857.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Urology in Meridian, ID (2024, 19 clinicians with data). Median for this group: 1,327. Middle half: 392 to 1,756.

More Part D prescriptions than 60% of clinicians listed under Urology in Idaho (2024, 48 clinicians with data). Median for this group: 1,256. Middle half: 541 to 1,887.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Urology in Meridian, ID (2024, 19 clinicians with data). Median for this group: $132,578. Middle half: $27,294 to $230,384.

Close to the middle for clinicians listed under Urology in Idaho (2024, 48 clinicians with data). Median for this group: $117,517. Middle half: $33,434 to $227,226.

22 active clinicians are listed under Urology with a practice address in Meridian, ID (61 in Idaho).

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

Telehealth indicator in Meridian

27.3% of these 22 clinicians have the CMS telehealth indicator.

81.8% of these 22 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 (2025), 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 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 12 records totaling $303.76.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
SpaceOAR VUE System - 10mL General $39.41
Boston Scientific Corporation
Food and Beverage
In-kind items and services
SpaceOAR VUE System - 10mL General $33.92
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
— General $31.63
Procept Biorobotics Corporation
Food and Beverage
In-kind items and services
AQUABEAM ROBOTIC SYSTEM General $30.39
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
ORGOVYX General $27.41
Boston Scientific Corporation
Food and Beverage
In-kind items and services
SpaceOAR VUE System - 10mL General $26.39
Endo USA, Inc.
Food and Beverage
In-kind items and services
AVEED General $23.75
Endo USA, Inc.
Food and Beverage
In-kind items and services
XIAFLEX General $23.61
Olympus America Inc.
Food and Beverage
In-kind items and services
iTIND System General $21.67
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $15.93
Boston Scientific Corporation
Food and Beverage
In-kind items and services
SpaceOAR VUE System - 10mL General $15.04
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $14.61

Source: CMS Open Payments, program year 2025, 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
227 187 $148.15 $60.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
79 67 $217.00 $89.95
81003 Automated urinalysis test
77 60 $9.82 $2.15
51798 Ultrasound measurement of bladder capacity after voiding
60 55 $30.20 $9.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
59 59 $295.00 $122.67
52000 Diagnostic exam of bladder and urethra using an endoscope
57 50 $186.82 $72.16
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
53 50 $197.34 $77.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 40 $284.58 $115.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
26 26 $373.27 $145.75
76872 Ultrasound scan of pelvic region through rectum
18 18 $87.00 $30.42
52000 Diagnostic exam of bladder and urethra using an endoscope
14 14 $502.57 $181.89
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope
14 14 $1875.07 $755.40

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
Tamsulosin Hcl Tamsulosin Hcl 443 33,883 $6,509.01 166
Finasteride Finasteride 182 16,380 $2,349.05 60
Alfuzosin Hcl Er Alfuzosin Hcl 81 5,989 $1,266.50 27
Testosterone Cypionate Testosterone Cypionate 79 5,117 $3,432.55 30
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 57 740 $203.35 39
Silodosin Silodosin 56 3,465 $4,632.98 20
Testosterone Testosterone 44 2,340 $11,488.11 15
Oxybutynin Chloride Oxybutynin Chloride 42 316 $168.01 37
Myrbetriq Mirabegron 42 2,615 $38,178.64 15
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 38 98 $154.50 36
Gemtesa Vibegron 35 2,108 $32,913.94 13
Cefdinir Cefdinir 34 275 $595.03 26
Anastrozole Anastrozole 29 2,518 $217.39 —
Ondansetron Odt Ondansetron 28 125 $257.67 27
Celecoxib Celecoxib 26 26 $43.92 21
Cephalexin Cephalexin 24 418 $268.26 15
Ciprofloxacin Hcl Ciprofloxacin Hcl 23 68 $44.14 22
Terazosin Hcl Terazosin Hcl 20 1,574 $423.18 —
Potassium Citrate Er Potassium Citrate 17 1,404 $2,260.11 —
Oxybutynin Chloride Er Oxybutynin Chloride 16 1,057 $529.50 —
Oxycodone Hcl Oxycodone Hcl 16 41 $48.22 13
Dutasteride Dutasteride 16 1,422 $251.36 —
Trospium Chloride Er Trospium Chloride 15 630 $2,303.44 —
Amoxicillin Amoxicillin 12 99 $38.76 —
Tadalafil Tadalafil 12 827 $290.38 —

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: 2026-06-02
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

License # reported to NPPES ID M-11868

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES MI 4301087650

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Urology

NUCC Taxonomy Code: 208800000X

License # reported to NPPES MI 4301087650

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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: Idaho State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - UROLOGY

Medicare Enrollment ID

I20130305000587

Enrollment State Jurisdiction

ID

PECOS Control ID

9830347533

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Urology Clinic

875 S Vanguard Way, Meridian, ID 836428540

Phone: 2087826730

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

NURSEPRACTITIONER

NPI 1689828162

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 02, 2026

Registered at 875 S VANGUARD WAY, SUITE 200 D, MERIDIAN, ID 83642 (Tel: 2087826730)

📍
Updated Business Mailing Address June 02, 2026

Registered at 875 S VANGUARD WAY, SUITE 200 D, MERIDIAN, ID 83642 (Tel: 2087826730)

👤
Provider Name / Credentials Updated June 02, 2026

Recorded as ROBERT JACKSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2026

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: MI 4301087650)

âś…
NPI Profile Active December 13, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) December 13, 2013

Registered at 520 S EAGLE RD, SUITE 3112, BOISE, ID 837126241 (Tel: 2083812222)

📍
Business Mailing Address (Initial Record) December 13, 2013

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083812222)

👤
Provider Name / Credentials (Initial Record) December 13, 2013

Recorded as ROBERT JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2013

Urology (license number reported to NPPES: MI 4301087650)

🟢
Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184740045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: June 02, 2026
Sole Proprietor: No

Other Urology Specialists in Meridian

All Urology Specialists in Meridian

Mailing Address

875 S Vanguard Way, Suite 200 D

Meridian, ID 83642

Phone: 2087826730

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.