Active NPI 1083662845 Individual Practitioner Male Practitioner

Dr. Charles William Jackson , MD

General Practice • Huntington Beach, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Jackson, MD is a certified General Practice practicing in Huntington Beach, CA. With approximately 50 years of clinical experience since completing medical education in 1976, Dr. Jackson delivers high-quality medical care to the local community at 17122 BEACH BLVD.

Dr. Jackson accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of influenza virus vaccine, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17122 Beach Blvd
Suite 102

Huntington Beach, CA 926475992

Telephone 7148476545

Fax 7148476547

Associated Practice Facility / Clinic

🏢 New Life Rehabilitation, Inc. Facility NPI 1437237617

Medicare Profile & Education

Medical School

Other

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Huntington Beach, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +9.5 yrs vs City Avg

City Avg: 40.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Huntington Beach, CA (2300 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (50 Years) 50 Yrs

Huntington Beach Specialty Average (40.5 Years) 40.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	64	$205.00	$138.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	56	$220.00	$194.38
99213 Established patient office or other outpatient visit, typically 15 minutes	57	36	$165.00	$98.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	57	$204.57	$138.80
99213 Established patient office or other outpatient visit, typically 15 minutes	89	42	$165.22	$98.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	61	$237.85	$194.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	72	$177.45	$141.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	63	$239.29	$198.16
99213 Established patient office or other outpatient visit, typically 15 minutes	33	23	$139.85	$99.92
G0008 Administration of influenza virus vaccine	20	20	$40.50	$33.09
90662 Influenza vaccine split virus, preservative free	20	20	$85.00	$68.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	67	$158.37	$143.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	94	77	$224.31	$199.78
90662 Influenza vaccine split virus, preservative free	41	41	$63.66	$59.38
G0008 Administration of influenza virus vaccine	41	41	$40.00	$19.19
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$120.60	$101.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	65	$155.00	$120.64
99213 Established patient office or other outpatient visit, typically 15 minutes	60	38	$115.00	$83.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	49	$220.00	$161.70
G0008 Administration of influenza virus vaccine	52	52	$40.00	$18.95
90662 Influenza vaccine split virus, preservative free	51	51	$50.00	$49.98
17000 Destruction of skin growth	13	12	$165.00	$74.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	106	$155.00	$119.21
99213 Established patient office or other outpatient visit, typically 15 minutes	67	42	$115.00	$81.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	50	$220.00	$159.25
G0008 Administration of influenza virus vaccine	29	29	$40.00	$18.58
90662 Influenza vaccine split virus, preservative free	19	19	$50.00	$49.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	107	$155.00	$114.80
99213 Established patient office or other outpatient visit, typically 15 minutes	79	55	$115.00	$77.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	51	$220.00	$154.23
G0008 Administration of influenza virus vaccine	30	30	$40.00	$23.13
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	28	$40.00	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	103	$155.00	$115.06
99213 Established patient office or other outpatient visit, typically 15 minutes	105	58	$115.00	$78.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	60	$220.00	$154.33

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G35311

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G353110 (CA)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Rubiceli Hernandez , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1114359429

NURSEPRACTITIONER

Dr. Ameer Moussa , MD

Internal Medicine

NPI 1942436225

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 30, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 30, 2010

Registered at 17122 BEACH BLVD, SUITE 102, HUNTINGTON BEACH, CA 926475992 (Tel: 7148476545)

📍

Updated Business Mailing Address July 30, 2010

Registered at 17122 BEACH BLVD, SUITE 102, HUNTINGTON BEACH, CA 926475992 (Tel: 7148476545)

👤

Provider Name / Credentials Updated July 30, 2010

Recorded as CHARLES JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2010

General Practice (License #G35311 in CA)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1083662845

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: July 30, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17122 Beach Blvd, Suite 102

Huntington Beach, CA 926475992

Phone: 7148476545

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.