Kenneth Douglas Jackson, M.D.
Family Medicine Physician · Kingman, AZ
Kenneth Douglas Jackson, M.D. is a family medicine physician with a practice address in Kingman, Arizona, and NPI 1073510491, issued on Jun 30, 2005. Check the license (Arizona 12522, as entered in NPPES) on the Arizona Medical Board; the Medicare figures below come from public CMS files.
- Name
- Kenneth Douglas Jackson
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 12522 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 1739 E Beverly Ave, Kingman, AZ 86401
- Phone
- (928) 692-3456
- Enumerated
- Jun 30, 2005
- Record last updated
- Jul 13, 2026
- Fax
- (928) 692-7071
- Medicaid ID
- 209991 AZ
- Medicare enrollment
- Enrolled (PECOS I20051027000503); accepts Medicare assignment
- Medical or professional school
- Baylor College Of Medicine, 1974
- Entity
- Type 1 · individual
Also registered at 1739 E Beverly Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Annika Bergeson, MSN, FNP-CFamily Nurse Practitioner1487807848
- Annie Chang-Burns, M.D.Internal Medicine Physician1427048008
- Jennie Dugo, NP-CFamily Nurse Practitioner1871979658
- Alexis GagginiAmbulatory Care Pharmacist1952767394
- Ahmad Khan, M.D.Pediatrics Physician1184702631
- Lisa Land, NP-C, ACNPC-AGFamily Nurse Practitioner1083078349
Verify Kenneth Douglas Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArizona Medical Board
Search for license 12522Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average family medicine physician in 2024
87 Medicare Part D claims for 12 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 83.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Kingman Healthcare IncKingman, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
38 family medicine physician records list a practice address in Kingman
They are 38 of the 741 NPPES records with a practice address in Kingman, and 3,119 family medicine physician records in Arizona.
All 38 in Kingman → All 3,119 in Arizona → Every provider in Kingman →
Other family medicine physician records in Arizona
- Muhammad Aamer, M.D.Yuma, AZ1437574720
- Ndidi Abara, M.D.Yuma, AZ1295115145
- Steven Abdelmalak, MDScottsdale, AZ1205092806
- Daniel Abelev, MDPhoenix, AZ1417573163
- Lindsey Abeyta, FNPTucson, AZ1043027857
- Modupeola Abiodun, M.D.Chandler, AZ1225326853
- Sara Abolmolouk, MDTucson, AZ1497043715
- Ahmed Abouzeid, MDGlendale, AZ1871619601
- Edward Abraham, M.D.Phoenix, AZ1144593211
- Rebecca Abraham, M.D.Surprise, AZ1437273323
Common questions
What is Kenneth Douglas Jackson, M.D.'s NPI number?
Kenneth Douglas Jackson, M.D.'s National Provider Identifier (NPI) is 1073510491, issued on Jun 30, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Douglas Jackson, M.D. located?
The NPPES record lists a practice address at 1739 E Beverly Ave, Kingman, AZ, 86401. Phone: (928) 692-3456. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Douglas Jackson, M.D.'s license?
NPPES lists Arizona license number 12522, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kenneth Douglas Jackson, M.D. prescribe under Medicare Part D?
In 2024, Kenneth Douglas Jackson, M.D. had 87 Medicare Part D claims for 12 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Kenneth Douglas Jackson, M.D.'s MIPS final score?
The 2023 MIPS final score is 83.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.