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Deactivated NPI 1295778496 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Franklin Jackson , MD

Surgery • Marion, IN

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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. Robert Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2006
NPI Deactivation Date June 26, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jackson, MD was a registered Surgery practicing in Marion, IN. Throughout an active medical career spanning 19 years, Dr. Jackson provided care at the practice location at 330 N WABASH AVE until profile deactivation on 2025-06-26.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

330 N Wabash Ave

Marion, IN 469522600

Telephone 7656628303
Fax 7656644523
Associated Practice Facility / Clinic
🏢 Professional Arts Pharmacy Facility NPI 1508853045

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marion, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Marion, IN (657 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
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
17 11 $51.00 $38.75

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01021177

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1447404074

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated June 26, 2025

Record deactivated on June 26, 2025

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Updated Practice Location January 23, 2023

Registered at 9660 E 146TH ST STE 100, NOBLESVILLE, IN 460603097 (Tel: 7656628303)

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Updated Business Mailing Address January 23, 2023

Registered at 9660 E 146TH ST STE 100, NOBLESVILLE, IN 460603097 (Tel: 7656628303)

NPI Profile Active September 07, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 07, 2010

Registered at 330 N WABASH AVE, MARION, IN 469522600 (Tel: 7656628303)

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Updated Business Mailing Address September 07, 2010

Registered at 330 N WABASH AVE, MARION, IN 469522600 (Tel: 7656628303)

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Provider Name / Credentials Updated September 07, 2010

Recorded as ROBERT JACKSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2010

Surgery (License #01021177 in IN)

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Initial NPI Registration & Enumeration June 14, 2006

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: 1295778496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2006
Last Update: September 07, 2010
Deactivation Date: June 26, 2025

Mailing Address

330 N Wabash Ave

Marion, IN 469522600

Phone: 7656628303

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.