Active NPI 1922052794 Individual Practitioner Male Practitioner

Dr. Daniel Forrest Jackson , MD

Internal Medicine - Gastroenterology • Dothan, AL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Jackson, MD is a registered healthcare professional specializing in Internal Medicine - Gastroenterology in Dothan, AL. Practice services are available at 480 HONEYSUCKLE RD under active NPI credentials.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

480 Honeysuckle Rd

Dothan, AL 36305

Telephone 3348361212

Fax 3348361888

Associated Practice Facility / Clinic

🏢 Gut Pc Facility NPI 1073566006

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Gastroenterology in Dothan, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.3 Yrs

State Avg: 32.9 Yrs

Regional Practice Density

11 Specialists

Practicing in Dothan, AL (239 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	7,601	76	$0.50	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	327	264	$122.90	$100.33
99213 Established patient office or other outpatient visit, typically 15 minutes	105	104	$84.71	$68.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	101	99	$450.00	$55.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	98	97	$815.00	$246.14
43249 Balloon dilation of esophagus using an endoscope	67	63	$455.00	$125.63
45380 Biopsy of large bowel using an endoscope	66	65	$685.00	$97.91
74177 Ct scan of abdomen and pelvis with contrast	61	60	$650.00	$203.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$170.00	$153.96
76705 Limited ultrasound scan of abdomen	27	27	$118.00	$54.91
91200 Measurement of liver stiffness	14	14	$51.43	$35.77
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$89.29	$71.06
74170 Ct scan of abdomen before and after contrast	13	13	$490.00	$177.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$135.00	$100.74
45381 Injection beneath lining of large bowel using a flexible endoscope	11	11	$650.00	$15.66
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$580.00	$166.18
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$580.00	$177.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1439 Injection, ferric carboxymaltose, 1 mg	20,250	24	$1.34	$1.04
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	13,100	127	$0.50	$0.12
J1745 Injection, infliximab, excludes biosimilar, 10 mg	950	13	$96.00	$82.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	469	402	$115.00	$99.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	177	173	$450.00	$64.67
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	153	151	$815.00	$237.98
45380 Biopsy of large bowel using an endoscope	139	137	$685.00	$80.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$170.00	$151.39
43249 Balloon dilation of esophagus using an endoscope	105	99	$455.00	$128.53
99213 Established patient office or other outpatient visit, typically 15 minutes	103	102	$80.00	$67.84
74177 Ct scan of abdomen and pelvis with contrast	99	96	$650.00	$196.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	91	$155.00	$127.92
J7050 Infusion, normal saline solution, 250 cc	52	43	$5.00	$0.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	35	$85.00	$67.50
76705 Limited ultrasound scan of abdomen	38	37	$120.00	$56.64
45378 Diagnostic exam of large bowel using a flexible endoscope	35	35	$580.00	$164.89
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$385.00	$110.80
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	27	24	$90.00	$65.15
96413 Infusion of chemotherapy into a vein up to 1 hour	25	19	$210.00	$126.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$580.00	$176.16
74170 Ct scan of abdomen before and after contrast	23	23	$490.00	$171.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$135.00	$99.59
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$70.00	$69.14
76700 Ultrasound of abdomen	19	19	$155.00	$73.72
96415 Administration of chemotherapy into vein, each additional hour	18	14	$45.00	$28.24
45381 Injection beneath lining of large bowel using a flexible endoscope	16	15	$650.00	$37.98
43245 Dilation of stomach outlet using an endoscope	14	14	$490.00	$168.27
91200 Measurement of liver stiffness	14	14	$75.00	$36.71
91110 Imaging of digestive tract done from the inside of the digestive tract	11	11	$1030.00	$740.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1439 Injection, ferric carboxymaltose, 1 mg	27,000	13	$1.34	$1.04
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	15,000	147	$0.50	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	637	528	$115.00	$99.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	227	219	$450.00	$66.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	219	219	$170.00	$150.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	219	218	$815.00	$240.84
45380 Biopsy of large bowel using an endoscope	197	197	$685.00	$91.79
43249 Balloon dilation of esophagus using an endoscope	130	119	$455.00	$132.71
74177 Ct scan of abdomen and pelvis with contrast	116	114	$650.00	$193.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	116	115	$155.00	$129.26
99213 Established patient office or other outpatient visit, typically 15 minutes	101	101	$80.00	$67.42
J7050 Infusion, normal saline solution, 250 cc	82	22	$5.00	$0.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	45	$85.00	$68.43
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	44	$385.00	$107.58
45381 Injection beneath lining of large bowel using a flexible endoscope	35	33	$650.00	$28.10
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	34	13	$90.00	$61.51
76705 Limited ultrasound scan of abdomen	32	32	$120.00	$52.31
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	31	31	$580.00	$173.96
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$580.00	$165.56
74170 Ct scan of abdomen before and after contrast	25	25	$490.00	$169.58
43245 Dilation of stomach outlet using an endoscope	23	21	$490.00	$165.00
76700 Ultrasound of abdomen	21	21	$155.00	$73.08
91110 Imaging of digestive tract done from the inside of the digestive tract	20	20	$1030.00	$757.27
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	16	11	$80.00	$61.36
82270 Stool analysis for blood to screen for colon tumors	14	14	$7.50	$4.37
45398 Tying of large bowel using an endoscope	13	13	$800.00	$157.81
71260 Ct scan of chest with contrast	12	12	$350.00	$147.27

Medical Specialties & State Licenses

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License AL 11900

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00301254A (GA)

Commercial Insurance / Payer ID United Healthcare

1199413

Commercial Insurance / Payer ID Railroad Medicare

P00229127

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Heather Young , FNP

Nurse Practitioner - Family

NPI 1003480716

Family Nurse Practitioner

Dr. Jeffrey Crittenden , MD

Internal Medicine - Gastroenterology

NPI 1043264336

Doctor of Medicine (M.D.)

Erica Littlefield , CRNP

Nurse Practitioner

NPI 1063186120

Certified Registered Nurse Practitioner

Dr. William Mclaughlin , MD

Internal Medicine - Gastroenterology

NPI 1104870971

Doctor of Medicine (M.D.)

Amanda Sewell , CRNP

Nurse Practitioner

NPI 1205500386

Certified Registered Nurse Practitioner

Dr. Samuel Tarwater , MD

Internal Medicine - Gastroenterology

NPI 1225080906

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 480 HONEYSUCKLE RD, DOTHAN, AL 36305 (Tel: 3348361212)

📍

Updated Business Mailing Address July 08, 2007

Registered at 480 HONEYSUCKLE RD, DOTHAN, AL 36305 (Tel: 3348361212)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #11900 in AL)

🟢

Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922052794

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 19, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

480 Honeysuckle Rd

Dothan, AL 36305

Phone: 3348361212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.