Active NPI 1154308997 Individual Practitioner Male Practitioner

Dr. Thomas L Jackson , MD

Specialist • Columbus, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jackson, MD is a certified Specialist practicing in Columbus, IN. With approximately 36 years of clinical experience since graduating from Indiana University School Of Medicine in 1990, Dr. Jackson delivers high-quality medical care to the local community at 2450 N PARK DR.

Dr. Jackson is affiliated with Southern Indiana Aesthetic And Plastic Surgery Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

2450 N Park Dr

Columbus, IN 472032216

Telephone 8123768997

Fax 8123735323

Associated Practice Facility / Clinic

🏢 Physician Practice Organization, Facility NPI 1356369219

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Columbus, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +2.5 yrs vs City Avg

City Avg: 33.5 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Columbus, IN (456 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (36 Years) 36 Yrs

Columbus Specialty Average (33.5 Years) 33.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	70	54	$122.00	$82.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$165.00	$101.32
19318 Breast reduction	17	17	$4641.59	$969.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$221.00	$154.64
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	15	$3851.00	$491.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	64	$122.00	$82.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$165.00	$102.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$275.00	$195.49
19318 Breast reduction	18	18	$4845.17	$969.34
19342 Placement of implant on separate day of breast reconstruction	16	13	$4824.75	$759.77
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	16	14	$3851.00	$540.69
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	12	11	$787.00	$276.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	58	$122.00	$85.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$165.00	$104.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$275.00	$207.66
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	21	18	$3851.00	$585.72
19318 Breast reduction	14	14	$4746.29	$1072.65
15777 Implantation of biologic implant to soft tissue	12	12	$733.33	$230.08
19340 Insertion of breast prosthesis at time of breast repositioning, removal or reconstruction	11	11	$4080.00	$758.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	48	$120.74	$83.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$163.71	$105.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$272.12	$209.43
19318 Breast reduction	23	23	$5006.52	$1106.46
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	17	15	$3789.06	$496.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$221.00	$158.52
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	12	12	$325.00	$202.09
15777 Implantation of biologic implant to soft tissue	11	11	$800.00	$245.77
19342 Placement of implant on separate day of breast reconstruction	11	11	$5620.18	$852.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	47	$110.18	$70.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$150.78	$101.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$250.00	$196.54
19318 Breast reduction	24	24	$4246.88	$1016.65
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	22	21	$3500.00	$488.16
19340 Insertion of breast prosthesis at time of breast repositioning, removal or reconstruction	15	14	$3360.00	$1082.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$200.00	$155.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	49	$110.00	$68.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$250.00	$194.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$150.00	$101.12
19318 Breast reduction	24	24	$4718.75	$1152.32
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	19	19	$3500.00	$561.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$200.00	$154.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	40	$110.00	$68.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$250.00	$194.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$150.00	$98.11
19318 Breast reduction	22	22	$4289.77	$1094.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.00	$154.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$55.00	$41.02
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	14	14	$1500.00	$435.84
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	12	12	$3500.00	$582.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	53	$98.57	$62.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$200.00	$145.67
19318 Breast reduction	24	24	$4561.46	$1088.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$250.00	$188.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$150.00	$98.03
14000 Repair of wound of trunk by transferring skin, 10.0 sq cm or less	21	18	$1035.00	$271.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$55.00	$39.56

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IN 01046379A

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200134430B (IN)

Commercial Insurance / Payer ID State License Number

01046379A (IN)

Hospital & Practice Group Affiliations

Southern Indiana Aesthetic And Plastic Surgery Llc

2450 N Park B, Columbus, IN 472032292

Phone: 8123768997

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 02, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2010

Registered at 2450 N PARK DR, COLUMBUS, IN 472032216 (Tel: 8123768997)

📍

Updated Business Mailing Address August 02, 2010

Registered at 2450 N PARK DR, COLUMBUS, IN 472032292 (Tel: 8123768997)

👤

Provider Name / Credentials Updated August 02, 2010

Recorded as THOMAS JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2010

Specialist (License #01046379A in IN)

🟢

Initial NPI Registration & Enumeration December 22, 2005

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: 1154308997

Entity Type:

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

Enumeration Date: December 22, 2005

Last Update: August 02, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2450 N Park Dr

Columbus, IN 472032292

Phone: 8123768997

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.