Medicare Enrolled

Dr. Carol Jackson, M.D.

Otolaryngology · Newport Beach, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
361 HOSPITAL RD, Newport Beach, CA 92663
9495747744
In practice since 2006 (19 years)
NPI: 1255434825 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Jackson from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Jackson

Dr. Carol Jackson is an otolaryngology specialist in Newport Beach, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Jackson performed 4,501 Medicare services across 1,816 unique beneficiaries.

Between the years covered by Open Payments, Dr. Jackson received a total of $30 from 1 pharmaceutical and/or device company across 1 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Jackson is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 4% volume in CA $30 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,501
Medicare services
Top 4% in CA for otolaryngology
1,816
Unique beneficiaries
$50
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~237 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Self-care/home management training, per 15 min
Instruction provided to help patients manage their own care or daily activities at home. The service is billed in 15-minute increments.
642 $24 $120
Microscopic ear examination
A detailed visual inspection of the ear using a specialized microscope to examine the ear canal and eardrum.
513 $26 $101
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
427 $146 $399
Functional capacity test, per 15 minutes
A test or measurement to assess functional capacity. The service is billed for each 15-minute increment.
422 $25 $100
Prolonged office E/M service, first 15 minutes
This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service.
420 $27 $240
Physical therapy exercise, per 15 min
A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately.
355 $19 $90
Comprehensive hearing and speech recognition test
A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech.
339 $32 $159
Neuromuscular re-education therapy, per 15 min
A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments.
239 $21 $90
Hearing test with different tone pitches
A test to assess hearing loss by measuring responses to different tone pitches.
233 $70 $200
Sensory experience therapy
A therapy procedure that utilizes sensory experiences as part of the treatment process.
127 $55 $80
Removal of foreign body in ear canal 122 $58 $239
Eardrum and muscle function test
A diagnostic test used to evaluate the function of the eardrum and associated muscles.
97 $19 $80
Test to assess electrical potentials generated in the inner ear as a result of sound stimulation 85 $96 $318
Muscle or tissue removal, 20 sq cm or less
This procedure involves the surgical removal of muscle or other tissue from the body. The total area of the removed tissue is 20.0 square centimeters or less.
83 $188 $440
Auditory brainstem response test
A test that measures how the brain responds to sound to help diagnose nervous system disorders. The results are interpreted and reported by a medical professional.
65 $72 $380
New patient office visit, complex (60-74 min) 60 $172 $515
Balance testing with recording
A procedure to evaluate balance function by recording the results during testing.
51 $96 $579
Use of electrodes during balance testing
Application of electrodes to monitor physiological responses during a balance assessment.
51 $10 $222
Head repositioning exercises for dizziness
A series of exercises performed to reposition the head, used to treat dizziness. The procedure is administered on a daily basis.
32 $36 $120
Online digital E/M service, established patient, 21+ minutes
An online digital evaluation and management service for an established patient. This service requires a total time of 21 or more minutes over a period of up to 7 days.
29 $40 $125
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
27 $41 $140
Principal care management for high-risk disease, first 30 minutes
This service involves 30 minutes of personal care management by a qualified healthcare professional for a patient with a single high-risk disease, billed per calendar month.
27 $69 $123
Bone removal, 20 sq cm or less
Surgical removal of a small area of bone, measuring 20 square centimeters or less.
25 $268 $620
Additional 30 minutes of principal care management
This service covers an additional 30 minutes of care management for a single high-risk disease, provided personally by a qualified healthcare professional each calendar month.
19 $50 $85
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
11 $12 $46
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2023 ↗
$30
Total received (2023-2023)
Bottom 5% in CA for otolaryngology
1
Company
1
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$30 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$30

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
MEDLINE INDUSTRIES LP
$30
Top 3 companies account for 100.0% of 2023 payments
Associated products mentioned in payments ›
INC. · MEDLINE INDUSTRIES
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an otolaryngology specialist in Newport Beach?
Compare otolaryngologists in the Newport Beach area by procedure volume, costs, and industry payment transparency.
Browse otolaryngologists nearby

Geographic Context

Otolaryngologists within 10 mi
101
Per 100K population
3.2
County median income
$113,702
Nearest hospital
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2023
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Jackson is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Jackson experienced with self-care/home management training, per 15 min?
Based on Medicare claims data, Dr. Jackson performed 642 self-care/home management training, per 15 min services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Jackson receive payments from pharmaceutical companies?
Yes. Dr. Jackson received a total of $30 from 1 company across 1 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Jackson's costs compare to other otolaryngologists in Newport Beach?
Dr. Jackson's average Medicare payment per service is $50. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Jackson) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →