Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Peter Romney Jackson, MD

Individual provider Psychiatry Physician · NPI 1508150467

Peter Romney Jackson, MD practises Psychiatry in Burlington, Vermont. Graduated from University of Utah School of Medicine in 2011, 15 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Vermont.

Years since qualifying
15
Trained at
University of Utah School of Medicine
Licensed in
NY, VT
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 S Prospect St
Burlington, VT 05401-3456
Phone: (802) 847-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Beekman St, Plattsburgh, NY 12901-1438 — (518) 562-7790

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 042-0013818 (VT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 290034 (NY)

Record details

NPI number1508150467
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients23
Services billed 108 a service is one billed item, such as a visit, a test or a procedure
Average patient age54

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at University of Vermont Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1202 clinicians in the practice; 12 are shown here.

Other providers in Burlington