Active NPI 1205815982 Individual Practitioner Male Practitioner

Mark Jackson , PA

Physician Assistant • Pikeville, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Jackson, PA is a certified Physician Assistant practicing in Pikeville, KY. With approximately 31 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1995, Mark Jackson delivers high-quality medical care to the local community at 911 BYPASS RD BLDG A.

Mark Jackson maintains professional affiliations with Pikeville Medical Center Inc, Dominion Health And Fitness, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include partial removal of collar bone at shoulder using an endoscope, shaving of part of shoulder bone and repair of ligament using an endoscope, repair of shoulder rotator cuff using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

911 Bypass Rd Bldg A

Pikeville, KY 415011689

Telephone 6064302206

Fax 6062187506

Associated Practice Facility / Clinic

🏢 Pikeville Medical Center Inc. Facility NPI 1528195864

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pikeville, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +17.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

22 Specialists

Practicing in Pikeville, KY (1973 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (31 Years) 31 Yrs

Pikeville Specialty Average (13.5 Years) 13.5 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
29824 Partial removal of collar bone at shoulder using an endoscope	35	34	$1492.00	$29.91
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	35	34	$1593.00	$21.72
29827 Repair of shoulder rotator cuff using an endoscope	33	32	$3102.00	$135.51
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$105.00	$49.97
20610 Aspiration and/or injection of fluid from large joint	30	24	$221.07	$38.65
29823 Removal of extensive shoulder joint tissue using an endoscope	26	25	$1542.77	$15.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$154.00	$67.98
27447 Replacement of knee joint, both sides of knee	17	16	$3752.00	$162.93
29828 Release of shoulder biceps tendon using an endoscope	14	14	$1555.00	$56.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	35	35	$1593.00	$22.36
29824 Partial removal of collar bone at shoulder using an endoscope	35	35	$1492.00	$33.86
29827 Repair of shoulder rotator cuff using an endoscope	31	31	$3102.00	$138.35
20610 Aspiration and/or injection of fluid from large joint	30	23	$235.07	$42.77
27447 Replacement of knee joint, both sides of knee	26	26	$3752.00	$166.09
29823 Removal of extensive shoulder joint tissue using an endoscope	23	23	$1472.00	$16.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$154.00	$79.61
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$105.00	$53.90
29828 Release of shoulder biceps tendon using an endoscope	13	13	$1555.00	$57.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
29824 Partial removal of collar bone at shoulder using an endoscope	29	28	$1492.00	$39.73
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	29	28	$1593.00	$22.67
20610 Aspiration and/or injection of fluid from large joint	28	23	$236.50	$42.31
29823 Removal of extensive shoulder joint tissue using an endoscope	25	24	$1472.00	$16.25
27447 Replacement of knee joint, both sides of knee	24	24	$3573.00	$167.20
29827 Repair of shoulder rotator cuff using an endoscope	23	22	$2889.52	$139.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$154.00	$80.70
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$105.00	$54.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
29824 Partial removal of collar bone at shoulder using an endoscope	37	37	$1492.00	$38.94
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	36	36	$1593.00	$22.94
20610 Aspiration and/or injection of fluid from large joint	33	25	$200.67	$42.76
29827 Repair of shoulder rotator cuff using an endoscope	29	29	$2559.00	$139.84
29823 Removal of extensive shoulder joint tissue using an endoscope	25	25	$1472.00	$16.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$154.00	$81.93
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$105.00	$55.46
27447 Replacement of knee joint, both sides of knee	17	17	$3573.00	$168.34
29828 Release of shoulder biceps tendon using an endoscope	11	11	$1555.00	$58.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	42	42	$1593.00	$23.54
99213 Established patient office or other outpatient visit, typically 15 minutes	42	35	$100.24	$42.82
29824 Partial removal of collar bone at shoulder using an endoscope	41	41	$1492.00	$36.33
20610 Aspiration and/or injection of fluid from large joint	39	32	$200.46	$43.43
29827 Repair of shoulder rotator cuff using an endoscope	36	36	$2559.00	$142.41
29828 Release of shoulder biceps tendon using an endoscope	24	24	$1555.00	$60.18
27447 Replacement of knee joint, both sides of knee	21	20	$3564.90	$174.45
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$1472.00	$20.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	75	51	$201.60	$44.76
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	60	58	$1606.28	$23.12
29824 Partial removal of collar bone at shoulder using an endoscope	59	57	$1504.64	$48.57
99213 Established patient office or other outpatient visit, typically 15 minutes	56	46	$100.00	$42.20
29827 Repair of shoulder rotator cuff using an endoscope	34	32	$2596.65	$136.14
27447 Replacement of knee joint, both sides of knee	33	32	$3403.00	$174.67
29828 Release of shoulder biceps tendon using an endoscope	16	16	$1555.00	$63.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	78	$91.21	$41.89
20610 Aspiration and/or injection of fluid from large joint	77	49	$198.55	$45.43
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	49	49	$1593.00	$22.74
29824 Partial removal of collar bone at shoulder using an endoscope	48	48	$1492.00	$41.77
29827 Repair of shoulder rotator cuff using an endoscope	35	35	$2559.00	$133.65
27447 Replacement of knee joint, both sides of knee	31	30	$3403.00	$176.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$144.83	$62.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	115	$94.43	$41.36
20610 Aspiration and/or injection of fluid from large joint	91	60	$192.00	$43.41
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	31	31	$1593.00	$23.05
29824 Partial removal of collar bone at shoulder using an endoscope	31	31	$1492.00	$38.78
27447 Replacement of knee joint, both sides of knee	29	28	$3403.00	$175.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$180.07	$64.06
29827 Repair of shoulder rotator cuff using an endoscope	24	24	$2559.00	$136.18

Medical Specialties & State Licenses

CMS Verified: 2022-06-08

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA290

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

95002903 (KY)

Commercial Insurance / Payer ID Railroad

P00164787

Commercial Insurance / Payer ID Railroad Medicare

P00363176 (KY)

Commercial Insurance / Payer ID Bcbs

000000521209 (KY)

Hospital & Practice Group Affiliations

Dominion Health And Fitness, Inc

4862 Dickenson Hwy, Clintwood, VA 242281810

Pikeville Medical Center Inc

184 S Mayo Trail, Pikeville, KY 415011518

Phone: 6064302213

Pikeville Medical Center Inc

911 Bypass Rd, Pikeville, KY 415011689

Practice Associates & Co-Workers

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

30 Associated Practitioners

Timothy Ferguson

Physician Assistant

NPI 1043732035

Dr. Aaron Brown , MD

Surgery - Surgical Critical Care

NPI 1083750681

Doctor of Medicine (M.D.)

Mary Booten , FNP-BC

Nurse Practitioner - Family

NPI 1093408510

Family Nurse Practitioner (Board Certified)

Dr. Nathaniel Adkins , MD

Surgery - Surgical Critical Care

NPI 1124256565

Doctor of Medicine (M.D.)

Dr. Apostolos Dimitroulias , MD

Orthopaedic Surgery

NPI 1124294962

Doctor of Medicine (M.D.)

Kiristan Dials , FNP-C

Nurse Practitioner - Family

NPI 1124752282

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 23, 2021

Registered at 911 BYPASS RD BLDG A, PIKEVILLE, KY 415011689 (Tel: 6064302206)

📍

Updated Business Mailing Address April 23, 2021

Registered at PO BOX 432, PIKEVILLE, KY 415020432 (Tel: 6064302206)

✅

NPI Profile Active July 22, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2014

Registered at 911 BYPASS RD, 6TH FLOOR CLINIC, PIKEVILLE, KY 415011689 (Tel: 6062181000)

📍

Updated Business Mailing Address July 22, 2014

Registered at PO BOX 2917, PIKEVILLE, KY 415022917 (Tel: 6062181000)

👤

Provider Name / Credentials Updated July 22, 2014

Recorded as MARK JACKSON, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2014

Physician Assistant (License #PA290 in KY)

🟢

Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Mark Jackson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1205815982

Entity Type:

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

Enumeration Date: January 11, 2006

Last Update: June 08, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 432

Pikeville, KY 415020432

Phone: 6064302206

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.