Dr. Michaelis B Jackson , MD
Ophthalmology • Herrin, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michaelis Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Michaelis Jackson, MD was a registered Ophthalmology practicing in Herrin, IL. Throughout an active medical career spanning 12 years, Dr. Jackson provided care at the practice location at 500 LINCOLN DRIVE until profile deactivation on 2018-06-15.
Historical Medicare Part B clinical services included established patient complete exam of visual system, imaging of retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
500 Lincoln Drive
Suite A
Herrin, IL 62948
Specialty Benchmarks & Practice Insights
Comparative analytics for Ophthalmology in Herrin, IL
Practicing in Herrin, IL (954 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92014
Established patient complete exam of visual system
|
972 | 882 | $194.23 | $120.67 |
|
92134
Imaging of retina
|
969 | 870 | $150.00 | $39.64 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
133 | 115 | $79.29 | $70.89 |
|
92133
Imaging of optic nerve
|
90 | 89 | $150.00 | $35.17 |
|
66984
Removal of cataract with insertion of lens
|
81 | 42 | $877.24 | $624.23 |
|
92083
Exam of visual field with extended testing
|
79 | 79 | $133.14 | $60.84 |
|
92136
Measurement of corneal curvature and depth of eye
|
77 | 46 | $232.80 | $52.50 |
|
92004
New patient complete exam of visual system
|
72 | 72 | $235.00 | $144.05 |
|
66821
Removal of recurring cataract in lens capsule using a laser
|
69 | 68 | $1480.30 | $377.37 |
|
92225
Examination of eye by ophthalmoscope with retinal drawing
|
34 | 17 | $105.00 | $26.30 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
29 | 18 | $35.00 | $20.53 |
|
92012
Established patient problem focused exam of visual system
|
25 | 23 | $130.85 | $83.91 |
|
92250
Photography of the retina
|
23 | 22 | $125.00 | $54.22 |
|
92285
Photography of content of eyes
|
22 | 21 | $75.00 | $19.32 |
|
65855
Laser repair to improve eye fluid flow
|
18 | 12 | $1105.13 | $239.25 |
|
67820
Removal of eyelashes using forceps
|
15 | 14 | $145.00 | $37.38 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
13 | 12 | $52.98 | $42.00 |
|
92002
New patient problem focused exam of visual system
|
12 | 12 | $135.00 | $79.98 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207W00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 15, 2018
NPI status registered as active in NPPES database
Registered at 500 LINCOLN DRIVE, SUITE A, HERRIN, IL 62948 (Tel: 6189931969)
Registered at 2800 W MAIN, CARBONDALE, IL 62901 (Tel: 6183518900)
Recorded as MICHAELIS JACKSON, MD
Ophthalmology (License #036073298 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2800 W Main
Carbondale, IL 62901
Phone: 6183518900
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