Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770715146 Individual Practitioner Male Practitioner

Dr. Cody Ronald Jackson , MD

General Practice • San Diego, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Cody Jackson, MD is a certified General Practice practicing in San Diego, CA. With approximately 17 years of clinical experience since graduating from Uniformed Services Uhs Fe Hebert School Of Med in 2009, Dr. Jackson delivers high-quality medical care to the local community at 3900 5TH AVE STE 110.

Dr. Jackson is affiliated with Monica Perlman Md Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3900 5th Ave Ste 110

San Diego, CA 921033122

Telephone 8585541212
Fax 8587951195
Associated Practice Facility / Clinic
🏢 Monica Perlman Md Inc. Facility NPI 1407248123

Medicare Profile & Education

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Diego, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -9.8 yrs vs City Avg
City Avg: 26.8 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
270 Specialists

Practicing in San Diego, CA (2300 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (17 Years) 17 Yrs
San Diego Specialty Average (26.8 Years) 26.8 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
135 62 $50.00 $16.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
117 59 $494.23 $191.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
78 41 $369.87 $136.02
36415 Insertion of needle into vein for collection of blood sample
58 36 $30.00 $8.65
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
54 40 $250.00 $33.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
27 27 $350.00 $138.83
G0444 Annual depression screening, 5 to 15 minutes
16 16 $35.00 $20.93

Medical Specialties & State Licenses

CMS Verified: 2022-07-05
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A162265

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

Preventive Medicine - Occupational Medicine

NUCC Taxonomy Code: 2083X0100X

State License CA A162265

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Monica Perlman Md Inc

3900 5th Ave, San Diego, CA 921033122

Phone: 8585541212

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kathryn Leyrer , NP

Nurse Practitioner - Family

NPI 1003576885

Nurse Practitioner

Taylor Nguyen , PA-C

Physician Assistant

NPI 1003635277

Physician Assistant (Certified)

NPI 1033734520

Doctor of Medicine (M.D.)

Oana Pickering , PA-C

Physician Assistant

NPI 1033735329

Physician Assistant (Certified)

Riyan Buller , FNP

Nurse Practitioner - Family

NPI 1033814017

Family Nurse Practitioner

Lorraine Peng , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033931993

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 05, 2022

Registered at 3900 5TH AVE STE 110, SAN DIEGO, CA 921033122 (Tel: 8585541212)

📍
Updated Business Mailing Address December 14, 2021

Registered at 9850 GENESEE AVE, STE 320, LA JOLLA, CA 920371208 (Tel: 8585541212)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2021

Preventive Medicine (License #A162265 in CA)

NPI Profile Active August 18, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2009

Registered at SANTA MARGARITA ROAD, BLDG H100, ATTENTION: CODE 094, CAMP PENDLETON, CA 920555191 (Tel: 7607251400)

📍
Updated Business Mailing Address August 18, 2009

Registered at SANTA MARGARITA ROAD, BLDG H100, ATTENTION: CODE 094, CAMP PENDLETON, CA 920555191

👤
Provider Name / Credentials Updated August 18, 2009

Recorded as CODY JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2009

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 18, 2009

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: 1770715146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2009
Last Update: July 05, 2022
Sole Proprietor: Yes

Mailing Address

9850 Genesee Ave, Ste 320

La Jolla, CA 920371208

Phone: 8585541212

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.