Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kevin W Jackson , PA-C

Physician Assistant • Celina, OH

Active NPI 1871986083 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

801 Pro Dr Ste D1
Celina, OH 458223307

Call 4195866489 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

801 Pro Dr Ste D1

Celina, OH 458223307

Telephone 4195866489
Fax 4195868509
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Wapakoneta, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Joint Township District Memorial Hospital; Jtdm Family Practice Llc. 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

Graduation Year

2014

Medicare patients

213 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 $31,937 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 $21,089 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

3,772 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

$105,168 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: $288.91 across 17 records.

By nature of payment

  • Food and Beverage: $288.91 across 17 records.

Reporting-company totals (3 largest of 10)

  • AstraZeneca Pharmaceuticals LP: $52.47 across 3 records.
  • Otsuka America Pharmaceutical, Inc.: $48.09 across 3 records.
  • ABBVIE INC.: $46.97 across 3 records.

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

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 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

2015

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

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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)

Kevin 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 Kevin 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 Celina and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: 169. Middle half: 67 to 400.

Too few clinicians listed under Physician Assistant in Celina have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $13,051. Middle half: $5,335 to $26,160.

Too few clinicians listed under Physician Assistant in Celina have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $9,581. Middle half: $3,849 to $19,099.

Too few clinicians listed under Physician Assistant in Celina have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: 212. Middle half: 71 to 708.

Too few clinicians listed under Physician Assistant in Celina have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: $2,158. Middle half: $495 to $43,005.

Too few clinicians listed under Physician Assistant in Celina have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under Physician Assistant with a practice address in Celina, OH (5,329 in Ohio).

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

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): 17 records totaling $288.91.

Manufacturer Payment Nature Product Type Amount ($)
Axsome Therapeutics, Inc.
Food and Beverage
In-kind items and services
Auvelity General $29.26
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $19.37
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $18.86
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $17.75
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $17.61
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $17.49
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $17.06
Pfizer Inc.
Food and Beverage
In-kind items and services
TRUMENBA General $16.93
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $16.26
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $16.10
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $16.04
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $15.49
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $14.96
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $14.61
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $13.74
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $13.74
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $13.64

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
J1010 Injection, methylprednisolone acetate, 1 mg
1,281 14 $0.26 $0.13
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
174 123 $128.00 $72.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
132 96 $186.00 $102.33
96372 Injection of drug or substance under skin or into muscle
33 23 $25.09 $11.37
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
24 21 $27.00 $13.37
81002 Urinalysis, manual test
18 17 $10.00 $3.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
17 17 $246.00 $132.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
15 15 $146.00 $103.72
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
11 11 $73.00 $40.55
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
11 11 $70.00 $53.02

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
Prednisone Prednisone 104 563 $122.75 84
Atorvastatin Calcium Atorvastatin Calcium 104 7,846 $788.19 54
Lisinopril Lisinopril 99 6,545 $392.17 37
Levothyroxine Sodium Levothyroxine Sodium 98 6,916 $716.85 40
Amlodipine Besylate Amlodipine Besylate 96 7,029 $336.44 42
Albuterol Sulfate Hfa Albuterol Sulfate 64 1,478 $1,200.49 28
Hydrochlorothiazide Hydrochlorothiazide 62 4,680 $156.56 31
Metformin Hcl Metformin Hcl 60 4,629 $195.36 29
Doxycycline Hyclate Doxycycline Hyclate 58 533 $750.70 53
Omeprazole Omeprazole 53 3,856 $409.72 23
Pravastatin Sodium Pravastatin Sodium 51 3,810 $263.36 23
Losartan Potassium Losartan Potassium 47 3,220 $208.57 20
Cephalexin Cephalexin 42 302 $184.70 38
Meloxicam Meloxicam 41 2,391 $48.39 21
Rosuvastatin Calcium Rosuvastatin Calcium 41 2,792 $360.37 16
Pantoprazole Sodium Pantoprazole Sodium 33 2,440 $294.28 19
Metoprolol Tartrate Metoprolol Tartrate 32 2,830 $176.67 17
Furosemide Furosemide 32 2,211 $45.11 17
Lisinopril-Hydrochlorothiazide Lisinopril/Hydrochlorothiazide 32 2,400 $92.64 13
Azithromycin Azithromycin 31 149 $78.87 27
Metoprolol Succinate Metoprolol Succinate 30 2,280 $284.28 14
Escitalopram Oxalate Escitalopram Oxalate 27 1,912 $236.69 12
Tamsulosin Hcl Tamsulosin Hcl 27 2,310 $415.19 12
Trulicity Dulaglutide 27 898 $29,652.26 —
Carvedilol Carvedilol 26 1,980 $213.25 —

(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: 2024-04-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.004297RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0121263 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20150413001271

Enrollment State Jurisdiction

OH

PECOS Control ID

8022336585

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

Jtdm Family Practice Llc

801 Pro Dr, Celina, OH 458223307

Phone: 4195866489

Joint Township District Memorial Hospital

200 Saint Clair Ave, Saint Marys, OH 458852400

Phone: 41939433353569

Secondary Practice Locations

812 Redskin Trl

Wapakoneta, OH 458958545

Phone: 4195866489

Clinicians Sharing This Practice Address or Phone

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

5 listed
NPI 1922061910

Doctor of Medicine (M.D.)

Kathryn Bruns , CNP

Nurse Practitioner - Family

NPI 1467810077

Certified Nurse Practitioner

Jessica Lozier , APRN-CNP

Nurse Practitioner - Family

NPI 1962041251

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1114131778

Doctor of Medicine (M.D.), Master of Science, Master of Business Administration, FAAFP

Dr. Peter White , MD

General Practice

NPI 1215984661

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 April 02, 2024

Registered at 801 PRO DR STE D1, CELINA, OH 458223307 (Tel: 4195866489)

📍
Updated Business Mailing Address April 02, 2024

Registered at 1140 S KNOXVILLE AVE STE D, SAINT MARYS, OH 458852609 (Tel: 4193001129)

👤
Provider Name / Credentials Updated April 02, 2024

Recorded as KEVIN JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2024

Physician Assistant (license number reported to NPPES: OH 50.004297RX)

âś…
NPI Profile Active March 12, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 12, 2015

Registered at 730 W MARKET STREET, EMERGENCY DEPT, LIMA, OH 45801 (Tel: 4192273361)

📍
Business Mailing Address (Initial Record) March 12, 2015

Registered at 332 CONGRESS PARK DR, DAYTON, OH 45459

👤
Provider Name / Credentials (Initial Record) March 12, 2015

Recorded as KEVIN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2015

Physician Assistant (license number reported to NPPES: OH 004297)

🟢
Initial NPI Registration & Enumeration March 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871986083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2015
Last Update: April 02, 2024
Sole Proprietor: No

Other Physician Assistants in Celina

Mailing Address

1140 S Knoxville Ave Ste D

Saint Marys, OH 458852609

Phone: 4193001129

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.