Active NPI 1306837042 Individual Practitioner Female Practitioner

Dr. Lee Sa B. Jackson , MD

Ophthalmology • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lee Sa Jackson, MD is a certified Ophthalmology practicing in Mesa, AZ. With approximately 34 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1992, Dr. Jackson delivers high-quality medical care to the local community at 4824 E BASELINE RD.

Dr. Jackson accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4824 E Baseline Rd
Suite 110

Mesa, AZ 852064676

Telephone 4806152020

Fax 4802199957

Associated Practice Facility / Clinic

🏢 Arizona Ophthalmology Specialists, Plc Facility NPI 1427078906

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Mesa, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +7.1 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

29 Specialists

Practicing in Mesa, AZ (384 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (34 Years) 34 Yrs

Mesa Specialty Average (26.9 Years) 26.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	550	209	$180.00	$121.10
92250 Photography of the retina	302	218	$100.00	$35.50
92083 Exam of visual field with extended testing	153	100	$110.00	$60.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	147	98	$40.00	$22.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	60	$160.00	$123.53
68761 Closure of tear duct opening using plug	82	34	$300.00	$194.78
92136 Measurement of corneal curvature and depth of eye	54	28	$150.00	$29.93
92004 New patient complete exam of visual system	47	47	$190.00	$143.50
65855 Laser repair to improve eye fluid flow	41	17	$800.00	$233.75
66984 Removal of cataract with insertion of lens	23	15	$2400.00	$515.32
66821 Removal of recurring cataract in lens capsule using a laser	20	16	$1050.00	$307.07
68760 Repair duct opening	14	11	$350.00	$284.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	490	199	$180.00	$122.21
92250 Photography of the retina	301	209	$100.00	$36.06
92083 Exam of visual field with extended testing	153	109	$110.00	$60.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	144	104	$40.00	$22.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	71	$160.00	$123.69
68761 Closure of tear duct opening using plug	64	25	$300.00	$191.94
65855 Laser repair to improve eye fluid flow	54	22	$800.00	$236.43
92004 New patient complete exam of visual system	43	43	$190.00	$144.88
92136 Measurement of corneal curvature and depth of eye	43	19	$150.00	$27.63
66984 Removal of cataract with insertion of lens	23	18	$2400.00	$521.02
66821 Removal of recurring cataract in lens capsule using a laser	22	15	$1050.00	$321.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	505	192	$180.00	$123.17
92250 Photography of the retina	312	208	$100.00	$36.10
92083 Exam of visual field with extended testing	144	88	$110.00	$60.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	139	85	$40.00	$22.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	59	$160.00	$125.03
92136 Measurement of corneal curvature and depth of eye	59	24	$150.00	$26.72
68761 Closure of tear duct opening using plug	54	23	$300.00	$179.55
65855 Laser repair to improve eye fluid flow	53	24	$800.00	$238.86
92004 New patient complete exam of visual system	46	46	$190.00	$146.24
66984 Removal of cataract with insertion of lens	31	19	$2400.00	$506.10
66821 Removal of recurring cataract in lens capsule using a laser	29	22	$1050.00	$321.55
92012 Established patient problem focused exam of visual system	17	15	$120.00	$87.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	315	211	$100.00	$38.30
92014 Established patient complete exam of visual system	304	196	$180.00	$124.07
92012 Established patient problem focused exam of visual system	262	109	$120.00	$88.05
92083 Exam of visual field with extended testing	141	97	$110.00	$61.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	132	93	$40.00	$22.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	70	$160.00	$126.71
68761 Closure of tear duct opening using plug	71	38	$300.00	$190.65
65855 Laser repair to improve eye fluid flow	61	24	$800.00	$242.66
92004 New patient complete exam of visual system	38	38	$190.00	$147.96
92136 Measurement of corneal curvature and depth of eye	30	13	$150.00	$30.04
66821 Removal of recurring cataract in lens capsule using a laser	20	16	$1050.00	$327.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	329	212	$100.00	$44.14
92014 Established patient complete exam of visual system	328	194	$180.00	$123.84
92012 Established patient problem focused exam of visual system	278	110	$120.00	$87.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	94	$160.00	$106.91
92083 Exam of visual field with extended testing	152	96	$110.00	$62.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	135	88	$40.00	$22.68
68761 Closure of tear duct opening using plug	115	45	$300.00	$187.79
92136 Measurement of corneal curvature and depth of eye	61	25	$150.00	$30.79
92004 New patient complete exam of visual system	50	50	$190.00	$148.73
66984 Removal of cataract with insertion of lens	41	26	$2400.00	$521.39
65855 Laser repair to improve eye fluid flow	33	14	$800.00	$205.85
66821 Removal of recurring cataract in lens capsule using a laser	23	17	$1050.00	$307.86
15823 Removal of excessive skin and fat of upper eyelid	11	11	$2000.00	$812.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	307	198	$180.00	$122.96
92012 Established patient problem focused exam of visual system	272	110	$120.00	$86.32
92250 Photography of the retina	236	171	$100.00	$49.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	74	$160.00	$105.86
68761 Closure of tear duct opening using plug	119	48	$300.00	$195.91
92083 Exam of visual field with extended testing	116	87	$110.00	$62.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	111	84	$40.00	$22.21
92004 New patient complete exam of visual system	54	54	$190.00	$146.82
92136 Measurement of corneal curvature and depth of eye	44	18	$150.00	$33.62
66984 Removal of cataract with insertion of lens	33	20	$2400.00	$631.87
66821 Removal of recurring cataract in lens capsule using a laser	18	13	$1050.00	$307.42
15823 Removal of excessive skin and fat of upper eyelid	16	16	$2000.00	$808.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	365	132	$120.00	$85.87
92014 Established patient complete exam of visual system	335	207	$180.00	$123.63
68761 Closure of tear duct opening using plug	173	70	$300.00	$205.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	92	$160.00	$105.23
92083 Exam of visual field with extended testing	138	94	$110.00	$63.11
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	128	89	$40.00	$21.13
92136 Measurement of corneal curvature and depth of eye	72	31	$150.00	$38.89
65855 Laser repair to improve eye fluid flow	46	16	$800.00	$206.01
92004 New patient complete exam of visual system	46	46	$190.00	$149.08
66984 Removal of cataract with insertion of lens	38	24	$2400.00	$633.04
68760 Repair duct opening	15	11	$350.00	$226.09
66821 Removal of recurring cataract in lens capsule using a laser	15	13	$1050.00	$307.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	274	111	$117.15	$84.13
92014 Established patient complete exam of visual system	257	173	$170.97	$121.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	73	$152.56	$104.93
92083 Exam of visual field with extended testing	123	94	$110.00	$63.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	117	92	$40.00	$19.91
68761 Closure of tear duct opening using plug	85	34	$300.00	$187.73
92004 New patient complete exam of visual system	54	54	$189.07	$143.85
65855 Laser repair to improve eye fluid flow	51	19	$800.00	$206.10
92136 Measurement of corneal curvature and depth of eye	43	20	$150.00	$47.20
66984 Removal of cataract with insertion of lens	25	16	$2400.00	$633.05
66821 Removal of recurring cataract in lens capsule using a laser	22	17	$1050.00	$307.49

Medical Specialties & State Licenses

CMS Verified: 2024-11-18

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 25793

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

404731 (AZ)

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Ramona Woodriffe , MD

Family Medicine

NPI 1013192442

Doctor of Medicine (M.D.)

Dr. Albena Baharieva , MD

Internal Medicine

NPI 1063580520

Doctor of Medicine (M.D.)

Christopher Carlson , PA-C, ATC

Physician Assistant - Surgical

NPI 1144220526

Physician Assistant (Certified), Certified Athletic Trainer

Dr. David Warkentin , DC

Chiropractor

NPI 1164590006

Doctor of Chiropractic

Jennifer Cleary , NP

Nurse Practitioner

NPI 1225251051

Nurse Practitioner

Raheel Mann , D, C

Chiropractor

NPI 1255676300

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2016

Registered at 4824 E BASELINE RD, SUITE 110, MESA, AZ 852064676 (Tel: 4806152020)

📍

Updated Business Mailing Address December 28, 2016

Registered at 4824 E BASELINE RD, STE 110, MESA, AZ 852064678 (Tel: 4806152020)

👤

Provider Name / Credentials Updated December 28, 2016

Recorded as LEE SA JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2016

Ophthalmology (License #25793 in AZ)

🟢

Initial NPI Registration & Enumeration November 02, 2005

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: 1306837042

Entity Type:

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

Enumeration Date: November 02, 2005

Last Update: November 18, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4824 E Baseline Rd, Ste 110

Mesa, AZ 852064678

Phone: 4806152020

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.