Merrill Thomas Jackson , PA
Physician Assistant - Surgical • Silver Spring, MD
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, Merrill Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Merrill Jackson, PA was a registered Physician Assistant - Surgical practicing in Silver Spring, MD. Throughout an active medical career spanning 15 years, Merrill Jackson provided care at the practice location at 1500 FOREST GLEN RD until profile deactivation on 2021-06-16.
Historical Medicare Part B clinical services included outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1500 Forest Glen Rd
Silver Spring, MD 209101483
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant - Surgical in Silver Spring, MD
Practicing in Silver Spring, MD (407 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 |
|---|---|---|---|---|
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
18 | 13 | $50.00 | $22.44 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363AS0400X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant - Surgical
Physician Assistant
Physician Assistant - Surgical
Physician Assistant (Certified)
Physician Assistant - Surgical
Physician Assistant (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 16, 2021
NPI status registered as active in NPPES database
Registered at 1500 FOREST GLEN RD, SILVER SPRING, MD 209101483 (Tel: 3017547258)
Registered at 6207 93RD PL, LANHAM, MD 207062728 (Tel: 3017547258)
Recorded as MERRILL JACKSON, PA
Physician Assistant (License #C0000688 in MD)
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
Mailing Address
6207 93rd Pl
Lanham, MD 207062728
Phone: 3017547258
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