Active NPI 1902958929 Individual Practitioner Male Practitioner

Dr. Mitchell Alin Jackson , MD

Ophthalmology • Lake Villa, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Jackson, MD is a certified Ophthalmology practicing in Lake Villa, IL. With approximately 37 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1989, Dr. Jackson delivers high-quality medical care to the local community at 300 N MILWAUKEE AVE.

Dr. Jackson is affiliated with Jacksoneye Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of cataract with insertion of lens, removal of recurring cataract in lens capsule using a laser. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 N Milwaukee Ave
Suite L Jacksoneye Sc

Lake Villa, IL 60046

Telephone 8473560700

Fax 8473560757

Associated Practice Facility / Clinic

🏢 Jacksoneye Sc Facility NPI 1073669834

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lake Villa, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +12.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Lake Villa, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (37 Years) 37 Yrs

Lake Villa Specialty Average (24.5 Years) 24.5 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	147	126	$147.80	$58.10
66984 Removal of cataract with insertion of lens	141	80	$1279.04	$494.38
66821 Removal of recurring cataract in lens capsule using a laser	119	84	$867.39	$338.65
99213 Established patient office or other outpatient visit, typically 15 minutes	111	83	$236.69	$93.03
68841 Insertion of drug delivery implant into tear duct of eye	63	37	$75.77	$14.51
92136 Measurement of corneal curvature and depth of eye	54	46	$90.19	$30.38
92134 Imaging of retina	41	40	$104.47	$41.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	31	$333.38	$131.50
92014 Established patient complete exam of visual system	27	27	$324.47	$127.97
92133 Imaging of optic nerve	19	18	$93.98	$35.52
92083 Exam of visual field with extended testing	12	12	$164.18	$64.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	245	187	$149.30	$59.91
66821 Removal of recurring cataract in lens capsule using a laser	215	133	$882.81	$351.02
66984 Removal of cataract with insertion of lens	172	103	$1286.94	$500.87
99213 Established patient office or other outpatient visit, typically 15 minutes	155	107	$238.17	$95.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	78	$336.41	$134.90
92136 Measurement of corneal curvature and depth of eye	96	82	$98.15	$35.41
68841 Insertion of drug delivery implant into tear duct of eye	83	51	$163.02	$15.42
92134 Imaging of retina	83	62	$106.20	$42.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$438.25	$176.40
66982 Complex removal of cataract with insertion of prosthetic lens	18	15	$1761.29	$680.86
92014 Established patient complete exam of visual system	14	14	$331.00	$132.71
92133 Imaging of optic nerve	14	11	$96.43	$36.58
92083 Exam of visual field with extended testing	14	11	$164.74	$66.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	234	139	$1627.19	$504.73
66821 Removal of recurring cataract in lens capsule using a laser	206	132	$950.20	$352.84
99213 Established patient office or other outpatient visit, typically 15 minutes	142	119	$238.85	$97.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	124	$317.95	$135.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	103	$151.80	$60.75
92136 Measurement of corneal curvature and depth of eye	117	98	$132.67	$44.58
68841 Insertion of drug delivery implant into tear duct of eye	117	79	$296.19	$15.41
83861 Microfluid analysis of tears	116	47	$125.00	$22.21
92134 Imaging of retina	98	91	$114.74	$42.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$397.48	$179.39
92133 Imaging of optic nerve	26	25	$101.66	$37.68
92083 Exam of visual field with extended testing	21	20	$163.93	$67.24
66982 Complex removal of cataract with insertion of prosthetic lens	19	15	$1765.48	$705.24
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$195.55	$78.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$277.52	$120.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	307	181	$2985.19	$575.38
99213 Established patient office or other outpatient visit, typically 15 minutes	217	143	$232.00	$98.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	182	$280.00	$138.82
66821 Removal of recurring cataract in lens capsule using a laser	195	124	$1120.00	$362.26
83861 Microfluid analysis of tears	194	75	$125.00	$22.48
92136 Measurement of corneal curvature and depth of eye	162	138	$248.00	$45.44
92134 Imaging of retina	118	106	$145.00	$35.41
0356T Insertion of drug delivery implant into tear ducts	88	53	$300.00	$86.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$255.00	$181.03
92083 Exam of visual field with extended testing	22	21	$157.00	$68.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	352	161	$125.00	$22.20
66984 Removal of cataract with insertion of lens	269	151	$2989.05	$576.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	219	$280.00	$115.94
99213 Established patient office or other outpatient visit, typically 15 minutes	179	148	$233.30	$79.78
92134 Imaging of retina	169	157	$145.00	$32.31
92136 Measurement of corneal curvature and depth of eye	154	123	$248.00	$46.65
66821 Removal of recurring cataract in lens capsule using a laser	121	80	$1120.00	$358.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$255.00	$175.73
0356T Insertion of drug delivery implant into tear ducts	53	30	$300.00	$80.74
92083 Exam of visual field with extended testing	35	31	$157.00	$65.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	608	270	$125.00	$22.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	352	$279.81	$113.57
66984 Removal of cataract with insertion of lens	380	215	$2968.67	$662.80
99213 Established patient office or other outpatient visit, typically 15 minutes	240	203	$232.00	$78.04
92136 Measurement of corneal curvature and depth of eye	181	146	$248.00	$58.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$255.00	$174.59
66821 Removal of recurring cataract in lens capsule using a laser	123	93	$1120.00	$353.78
92134 Imaging of retina	118	112	$145.00	$41.70
92083 Exam of visual field with extended testing	73	70	$157.00	$67.28
92133 Imaging of optic nerve	26	24	$145.00	$38.08
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	16	16	$500.00	$84.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$325.00	$154.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,440	545	$125.00	$21.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	801	637	$280.00	$112.40
99213 Established patient office or other outpatient visit, typically 15 minutes	626	431	$232.00	$76.06
66984 Removal of cataract with insertion of lens	474	236	$2694.63	$581.00
92136 Measurement of corneal curvature and depth of eye	454	278	$248.00	$59.00
92134 Imaging of retina	332	263	$145.00	$42.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	273	273	$255.00	$173.52
92275 Recording of retinal electrical responses to external stimuli	141	136	$507.09	$157.52
92083 Exam of visual field with extended testing	123	119	$157.00	$65.54
66821 Removal of recurring cataract in lens capsule using a laser	121	77	$1120.00	$347.34
66821 Removal of recurring cataract in lens capsule using a laser	97	65	$1120.00	$327.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	52	$325.00	$150.26
92133 Imaging of optic nerve	45	43	$145.00	$38.11
92285 Photography of content of eyes	25	25	$139.60	$21.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$325.00	$219.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$160.00	$109.92
68761 Closure of tear duct opening using plug	14	11	$508.57	$190.25
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$3589.00	$793.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,627	179	$587.70	$125.61
83861 Microfluid analysis of tears	1,286	423	$125.00	$22.15
99213 Established patient office or other outpatient visit, typically 15 minutes	749	408	$232.00	$76.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	736	574	$280.18	$112.12
92134 Imaging of retina	363	272	$145.00	$42.05
92136 Measurement of corneal curvature and depth of eye	354	227	$248.00	$68.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	225	225	$255.00	$172.79
66821 Removal of recurring cataract in lens capsule using a laser	206	123	$1120.00	$326.87
92275 Recording of retinal electrical responses to external stimuli	135	112	$503.70	$156.28
66982 Complex removal of cataract with insertion of prosthetic lens	109	13	$629.18	$142.96
92083 Exam of visual field with extended testing	89	88	$157.00	$65.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	79	$325.00	$151.80
92133 Imaging of optic nerve	41	37	$145.00	$39.08
68761 Closure of tear duct opening using plug	31	15	$390.45	$173.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$325.00	$209.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$160.00	$114.57

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036083377

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036083377 (IL)

Commercial Insurance / Payer ID Bcbs #

0004932263 (IL)

Commercial Insurance / Payer ID Medicare Id

208201 (IL)

Hospital & Practice Group Affiliations

Jacksoneye Sc

300 N Milwaukee Ave, Lake Villa, IL 600468563

Phone: 8473560700

Jacksoneye Sc

10148 S 27th St, Oak Creek, WI 531545528

Phone: 4143779000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Anna Edmiston , MD

Ophthalmology

NPI 1386055762

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 January 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2014

Registered at 300 N MILWAUKEE AVE, SUITE L JACKSONEYE SC, LAKE VILLA, IL 60046 (Tel: 8473560700)

📍

Updated Business Mailing Address January 09, 2014

Registered at 300 N MILWAUKEE AVE, SUITE L JACKSONEYE SC, LAKE VILLA, IL 60046 (Tel: 8473560700)

👤

Provider Name / Credentials Updated January 09, 2014

Recorded as MITCHELL JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2014

Ophthalmology (License #036083377 in IL)

🟢

Initial NPI Registration & Enumeration January 18, 2007

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: 1902958929

Entity Type:

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

Enumeration Date: January 18, 2007

Last Update: January 09, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 N Milwaukee Ave, Suite L Jacksoneye Sc

Lake Villa, IL 60046

Phone: 8473560700

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.