Active NPI 1740254978 Individual Practitioner Male Practitioner

Dr. Jon Ryan Jackson , MD

Plastic Surgery • Naples, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Jackson, MD is a certified Plastic Surgery practicing in Naples, FL. With approximately 35 years of clinical experience since graduating from Indiana University School Of Medicine in 1991, Dr. Jackson delivers high-quality medical care to the local community at 4500 EXECUTIVE DR STE 300.

Dr. Jackson is affiliated with Jackson Center, Pa. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm, repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 Executive Dr Ste 300

Naples, FL 341198908

Telephone 2395989009

Fax 2395985009

Associated Practice Facility / Clinic

🏢 Jackson Center, Pa Facility NPI 1417013707

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Naples, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +12.1 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 29.6 Yrs

Regional Practice Density

19 Specialists

Practicing in Naples, FL (537 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (35 Years) 35 Yrs

Naples Specialty Average (22.9 Years) 22.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	373	205	$129.00	$92.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	246	200	$89.00	$57.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	201	138	$378.96	$124.14
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	162	123	$733.58	$429.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$199.00	$114.03
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	64	54	$686.76	$389.26
96405 Administration of chemotherapy into growth, 1-7	61	26	$177.70	$72.34
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	46	40	$943.94	$477.42
J9260 Injection, methotrexate sodium, 50 mg	38	17	$18.95	$2.60
17000 Destruction of skin growth	35	23	$137.78	$36.22
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	35	30	$401.50	$128.65
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	33	30	$601.00	$343.76
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	32	29	$479.32	$136.64
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	26	$300.00	$87.48
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	24	23	$654.10	$393.30
J9250 Methotrexate sodium, 5 mg	22	14	$20.00	$0.30
11102 Tangential biopsy of single skin lesion	18	15	$193.20	$86.91
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	15	15	$579.22	$333.76
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$420.00	$142.24
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	13	12	$742.74	$430.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	204	$129.00	$93.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	235	201	$89.00	$58.66
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	206	167	$378.96	$127.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	146	126	$733.58	$442.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$199.00	$117.71
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	87	71	$686.76	$395.25
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	43	$300.00	$90.18
J9250 Methotrexate sodium, 5 mg	47	21	$20.00	$0.24
96405 Administration of chemotherapy into growth, 1-7	45	21	$177.70	$75.72
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	43	40	$479.32	$140.52
17000 Destruction of skin growth	42	23	$137.78	$36.59
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	35	34	$654.10	$406.47
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	34	31	$943.94	$495.68
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	33	33	$601.00	$374.13
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	29	$401.50	$132.34
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	24	24	$579.22	$343.43
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	19	$420.00	$146.86
11102 Tangential biopsy of single skin lesion	17	17	$193.20	$89.91
11106 Incision biopsy, first skin growth	15	15	$292.70	$156.70
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$360.00	$275.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	300	185	$118.87	$95.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	241	190	$83.65	$59.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	207	153	$378.96	$130.85
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	116	100	$733.58	$449.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$199.00	$118.81
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	69	63	$601.00	$377.19
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	48	44	$686.76	$416.98
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	46	44	$654.10	$406.32
96405 Administration of chemotherapy into growth, 1-7	40	22	$177.70	$78.44
J9250 Methotrexate sodium, 5 mg	40	22	$20.00	$0.23
17000 Destruction of skin growth	38	20	$137.42	$35.61
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	37	29	$479.32	$143.08
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	34	30	$401.50	$138.50
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	25	$943.94	$505.03
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	28	$300.00	$92.38
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	26	26	$579.22	$358.23
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	13	$420.00	$148.77
11106 Incision biopsy, first skin growth	12	12	$292.70	$159.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	327	211	$109.00	$96.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	223	188	$79.00	$58.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	175	133	$378.96	$131.89
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	138	113	$733.58	$461.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$199.00	$119.39
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	73	66	$686.76	$411.84
J9250 Methotrexate sodium, 5 mg	56	26	$20.00	$0.21
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	49	$300.00	$92.58
96405 Administration of chemotherapy into growth, 1-7	52	26	$190.14	$81.87
17000 Destruction of skin growth	50	25	$124.83	$35.46
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	43	42	$601.00	$368.23
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	41	38	$401.50	$136.10
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	41	40	$654.10	$391.62
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	36	35	$579.22	$356.31
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	26	24	$261.98	$83.51
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	24	$479.32	$144.78
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	20	$943.94	$511.01
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	19	$420.00	$150.39
11102 Tangential biopsy of single skin lesion	12	12	$193.20	$90.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	258	187	$109.00	$79.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	167	$79.00	$48.21
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	151	115	$378.96	$131.91
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	103	92	$733.58	$455.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$199.00	$114.50
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	69	65	$686.76	$406.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	38	$300.00	$91.07
J9250 Methotrexate sodium, 5 mg	38	21	$20.00	$0.24
96405 Administration of chemotherapy into growth, 1-7	37	20	$218.14	$80.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	37	36	$943.94	$505.81
17000 Destruction of skin growth	35	19	$124.00	$35.61
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	29	$401.50	$136.28
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	27	26	$261.98	$81.75
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	27	26	$601.00	$353.68
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	26	25	$654.10	$402.65
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	24	$479.32	$145.81
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	23	23	$579.22	$349.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	396	263	$109.68	$77.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	312	249	$79.00	$47.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	237	170	$378.96	$132.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	157	157	$199.00	$113.83
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	154	129	$733.58	$458.99
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	89	80	$686.76	$413.42
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	59	54	$943.94	$515.30
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	54	52	$601.00	$379.51
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	49	47	$654.10	$413.41
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	30	$300.00	$89.94
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	23	$401.50	$142.88
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	25	25	$261.98	$80.68
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	22	20	$1398.74	$838.79
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	21	21	$579.22	$362.82
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	18	$479.32	$145.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	399	232	$109.00	$75.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	234	192	$79.00	$45.37
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	214	164	$378.96	$131.10
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	147	118	$733.58	$444.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$199.00	$113.01
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	89	80	$686.76	$409.97
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	69	63	$654.10	$389.91
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	63	56	$943.94	$503.87
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	49	46	$601.00	$366.25
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	45	39	$401.50	$135.70
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	32	28	$479.32	$143.79
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	30	29	$579.22	$347.62
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	28	$300.00	$88.40
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	20	19	$261.98	$79.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	16	$420.00	$151.04
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	16	16	$742.74	$446.78
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	14	$1398.74	$822.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	398	245	$109.00	$75.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	204	153	$378.96	$130.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	204	170	$79.00	$45.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	193	193	$199.00	$113.00
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	151	117	$733.58	$447.90
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	115	97	$686.76	$409.20
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	68	62	$943.94	$499.10
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	63	56	$654.10	$406.61
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	46	43	$601.00	$360.74
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	38	$300.00	$87.40
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	35	30	$261.98	$78.25
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	34	33	$1398.74	$814.57
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	28	28	$579.22	$346.02
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	27	25	$401.50	$135.34
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$420.00	$159.34
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$479.32	$143.53
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	13	12	$742.74	$446.67
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	13	12	$357.18	$120.61

Medical Specialties & State Licenses

CMS Verified: 2023-02-17

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License FL ME91375

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Hospital & Practice Group Affiliations

Jackson Center, Pa.

4500 Executive Dr, Naples, FL 341198908

Phone: 2395989009

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Sharon Jackson , MD

Dermatology

NPI 1407820764

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 17, 2023

Registered at 4500 EXECUTIVE DR STE 300, NAPLES, FL 341198908 (Tel: 2395989009)

📍

Updated Business Mailing Address February 17, 2023

Registered at 4500 EXECUTIVE DR STE 300, NAPLES, FL 341198908 (Tel: 2395989009)

✅

NPI Profile Active December 17, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 17, 2007

Registered at 1890 SW HEALTH PKWY, SUITE 301, NAPLES, FL 341090473 (Tel: 2395989009)

📍

Updated Business Mailing Address December 17, 2007

Registered at 1890 SW HEALTH PKWY, SUITE 301, NAPLES, FL 341090473 (Tel: 2395989009)

👤

Provider Name / Credentials Updated December 17, 2007

Recorded as JON JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2007

Plastic Surgery (License #ME91375 in FL)

🟢

Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jon Jackson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1740254978

Entity Type:

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

Enumeration Date: February 14, 2006

Last Update: February 17, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 Executive Dr Ste 300

Naples, FL 341198908

Phone: 2395989009

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.