Active NPI 1184067498 Individual Practitioner Male Practitioner

Dr. Chad Harman Jackson , MD

Ophthalmology • Boise, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chad Jackson, MD is a certified Ophthalmology practicing in Boise, ID. With approximately 13 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2013, Dr. Jackson delivers high-quality medical care to the local community at 111 W MAIN ST STE 200.

Dr. Jackson is affiliated with Idaho Eyelid And Facial Plastic Surgery Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, photography of content of eyes, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 W Main St Ste 200

Boise, ID 837027308

Telephone 2083443220

Fax 2083440461

Associated Practice Facility / Clinic

🏢 Idaho Eyelid & Facial Plastic Surgery , Pllc Facility NPI 1255401436

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Boise, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -10.1 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

26 Specialists

Practicing in Boise, ID (80 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (13 Years) 13 Yrs

Boise Specialty Average (23.1 Years) 23.1 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$358.00	$153.45
92285 Photography of content of eyes	119	117	$55.00	$20.66
99213 Established patient office or other outpatient visit, typically 15 minutes	51	41	$195.00	$82.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$240.00	$102.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$274.00	$114.90
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	20	18	$2535.65	$649.39
68840 Probing of nasal-tear duct	20	20	$441.60	$145.05
68815 Probing of nasal-tear duct with insertion of tube or stent	16	16	$1193.63	$138.74
67904 Repair of tendon of upper eyelid	14	14	$2942.86	$740.81
67810 Biopsy of eyelid	13	12	$525.00	$158.59
67914 Suture repair of a turning-outward defect of upper or lower eyelid	12	11	$1543.13	$167.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	134	134	$81.40	$20.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$316.50	$152.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$213.42	$102.48
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$195.18	$83.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$94.20	$51.68
68840 Probing of nasal-tear duct	18	18	$450.89	$148.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$488.72	$202.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$288.81	$117.59
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	12	12	$2748.92	$642.40
67914 Suture repair of a turning-outward defect of upper or lower eyelid	12	12	$1741.54	$179.22
67904 Repair of tendon of upper eyelid	11	11	$3035.73	$857.58
67904 Repair of tendon of upper eyelid	11	11	$3714.00	$760.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$193.00	$102.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$300.00	$152.52
92285 Photography of content of eyes	68	68	$87.00	$19.99
99213 Established patient office or other outpatient visit, typically 15 minutes	55	44	$132.00	$83.88
68840 Probing of nasal-tear duct	26	25	$436.62	$165.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$83.00	$51.68
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	16	15	$2992.00	$613.26
15823 Removal of excessive skin and fat of upper eyelid	15	15	$3099.60	$815.70
68815 Probing of nasal-tear duct with insertion of tube or stent	14	13	$1371.43	$111.20
68720 Creation of drainage tract from tear sac to the nasal cavity	12	11	$2289.00	$743.05
15823 Removal of excessive skin and fat of upper eyelid	12	12	$3157.00	$734.40
67810 Biopsy of eyelid	11	11	$618.00	$170.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$212.46	$104.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$327.65	$158.30
92285 Photography of content of eyes	43	43	$87.00	$20.40
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$156.43	$86.18
68840 Probing of nasal-tear duct	21	20	$560.24	$171.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$207.20	$122.63
15823 Removal of excessive skin and fat of upper eyelid	16	16	$2540.06	$767.57
67810 Biopsy of eyelid	12	12	$618.00	$167.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$266.67	$108.60
99213 Established patient office or other outpatient visit, typically 15 minutes	69	62	$185.00	$74.75
92081 Exam of visual field with limited testing	47	47	$156.00	$34.32
68840 Probing of nasal-tear duct	20	20	$630.40	$185.76
92285 Photography of content of eyes	16	16	$86.19	$20.20
67840 Removal of eyelid growth	16	16	$834.50	$282.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$331.67	$160.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	264	264	$275.00	$109.77
92081 Exam of visual field with limited testing	113	113	$156.00	$34.63
68840 Probing of nasal-tear duct	31	28	$611.42	$175.22
67840 Removal of eyelid growth	28	24	$866.89	$260.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$110.00	$46.07
15823 Removal of excessive skin and fat of upper eyelid	21	21	$3928.00	$814.93
67961 Removal of up to 1/4 of eyelid margin and repair of eyelid	17	17	$3132.71	$487.69
67904 Repair of tendon of upper eyelid	14	14	$4830.43	$878.83
67900 Repair of brow paralysis	13	13	$3759.38	$442.00
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	11	11	$2893.09	$707.69
67914 Suture repair of a turning-outward defect of upper or lower eyelid	11	11	$2404.36	$206.78
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$185.00	$75.71

Medical Specialties & State Licenses

CMS Verified: 2020-07-29

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License ID M-15230

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License WI 67198

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 207WX0200X

State License NV 18691

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1184067498 (WI)

Hospital & Practice Group Affiliations

Idaho Eyelid And Facial Plastic Surgery Pllc

111 W Main St, Boise, ID 837027308

Phone: 2083443220

Secondary Practice Locations

4502 Medical Dr

San Antonio, TX 782294402

Phone: 2105678406

925 N 87th St

Milwaukee, WI 532264812

Phone: 4144562020

5435 Reno Corporate Dr Ste 100

Reno, NV 895112250

Phone: 7753223311

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Mark Boerner , MD

Ophthalmology

NPI 1003819459

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location July 29, 2020

Registered at 111 W MAIN ST STE 200, BOISE, ID 837027308 (Tel: 2083443220)

📍

Updated Business Mailing Address July 29, 2020

Registered at 111 W MAIN ST STE 200, BOISE, ID 837027308 (Tel: 2083443220)

📍

Updated Practice Location February 06, 2020

Registered at 5435 RENO CORPORATE DR STE 100, RENO, NV 895112250 (Tel: 7753223311)

📍

Updated Business Mailing Address February 06, 2020

Registered at 5435 RENO CORPORATE DR STE 100, RENO, NV 895112250 (Tel: 7753223311)

✅

NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2017

Registered at 925 N 87TH ST, MILWAUKEE, WI 532264812 (Tel: (414) 456-2020)

📍

Updated Business Mailing Address July 05, 2017

Registered at 925 N 87TH ST, MILWAUKEE, WI 532264812 (Tel: (414) 456-2020)

👤

Provider Name / Credentials Updated July 05, 2017

Recorded as CHAD JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Ophthalmology (License #67198 in WI)

👤

Provider Name / Credentials Updated April 24, 2017

Recorded as CHAD JACKSON, MD

✅

NPI Profile Active October 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2014

Registered at 4502 MEDICAL DR, SAN ANTONIO, TX 782294402 (Tel: 2105678406)

📍

Updated Business Mailing Address October 24, 2014

Registered at 7703 FLOYD CURL DR, SAN ANTONIO, TX 782293901

👤

Provider Name / Credentials Updated October 24, 2014

Recorded as CHAD JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 17, 2013

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: 1184067498

Entity Type:

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

Enumeration Date: April 17, 2013

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 W Main St Ste 200

Boise, ID 837027308

Phone: 2083443220

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.