Active NPI 1427052091 Individual Practitioner Male Practitioner

Dr. James Lawrence Jackson , MD

Ophthalmology • Midland, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Jackson, MD is a certified Ophthalmology practicing in Midland, MI. With approximately 41 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1985, Dr. Jackson delivers high-quality medical care to the local community at 400 JOSEPH DR STE B.

Dr. Jackson is affiliated with Jackson And Bigelow Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Joseph Dr Ste B

Midland, MI 486428636

Telephone 9896312020

Fax 9898356686

Associated Practice Facility / Clinic

🏢 Jackson & Bigelow Md Pc Facility NPI 1508994211

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Midland, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +5.5 yrs vs City Avg

City Avg: 35.5 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Midland, MI (843 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (41 Years) 41 Yrs

Midland Specialty Average (35.5 Years) 35.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	333	$180.00	$127.71
99213 Established patient office or other outpatient visit, typically 15 minutes	185	125	$125.00	$89.83
92134 Imaging of retina	128	96	$150.00	$39.07
92083 Exam of visual field with extended testing	85	79	$150.00	$60.19
92133 Imaging of optic nerve	80	79	$145.00	$32.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$265.00	$164.50
92136 Measurement of corneal curvature and depth of eye	70	49	$423.00	$39.92
66984 Removal of cataract with insertion of lens	62	40	$2685.16	$498.47
66821 Removal of recurring cataract in lens capsule using a laser	23	20	$1452.00	$329.19
76514 Ultrasound scan of cornea to determine thickness	14	14	$150.00	$10.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	411	362	$169.54	$123.28
99213 Established patient office or other outpatient visit, typically 15 minutes	175	111	$125.00	$87.39
92134 Imaging of retina	145	115	$150.00	$38.08
92083 Exam of visual field with extended testing	103	98	$150.00	$58.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$265.00	$161.95
92133 Imaging of optic nerve	87	86	$145.00	$32.45
92136 Measurement of corneal curvature and depth of eye	44	34	$423.00	$40.38
66984 Removal of cataract with insertion of lens	32	25	$2860.00	$516.77
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$1452.00	$317.75
76514 Ultrasound scan of cornea to determine thickness	13	13	$150.00	$10.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	420	384	$200.00	$121.39
92012 Established patient problem focused exam of visual system	200	138	$160.00	$84.22
92134 Imaging of retina	161	132	$150.00	$38.25
92083 Exam of visual field with extended testing	131	124	$150.00	$58.97
92133 Imaging of optic nerve	114	111	$145.00	$32.91
92004 New patient complete exam of visual system	90	90	$240.00	$142.29
66984 Removal of cataract with insertion of lens	65	35	$2568.15	$445.03
92136 Measurement of corneal curvature and depth of eye	58	39	$423.00	$40.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	42	$250.00	$171.60
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$125.00	$87.78
66821 Removal of recurring cataract in lens capsule using a laser	16	14	$1452.00	$319.54
92060 Exam to measure eye deviation and range of motion	16	15	$108.13	$60.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$160.00	$123.96
76514 Ultrasound scan of cornea to determine thickness	13	13	$150.00	$9.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$265.00	$162.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	471	425	$200.00	$122.19
92012 Established patient problem focused exam of visual system	220	154	$160.00	$86.45
92134 Imaging of retina	149	120	$149.97	$38.82
92004 New patient complete exam of visual system	136	136	$240.00	$144.98
92083 Exam of visual field with extended testing	132	125	$150.00	$60.84
92133 Imaging of optic nerve	119	117	$145.00	$33.72
92136 Measurement of corneal curvature and depth of eye	52	38	$423.00	$46.34
66984 Removal of cataract with insertion of lens	47	30	$2398.72	$439.98
76514 Ultrasound scan of cornea to determine thickness	20	20	$150.00	$10.38
66821 Removal of recurring cataract in lens capsule using a laser	19	16	$1452.00	$324.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	462	421	$200.00	$121.75
92012 Established patient problem focused exam of visual system	227	141	$160.00	$85.48
92083 Exam of visual field with extended testing	123	117	$150.00	$60.56
92133 Imaging of optic nerve	119	117	$145.00	$33.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$230.14	$161.48
92134 Imaging of retina	112	90	$149.87	$38.86
66984 Removal of cataract with insertion of lens	57	29	$2194.39	$390.69
92136 Measurement of corneal curvature and depth of eye	49	32	$423.00	$49.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$158.09	$104.73
66821 Removal of recurring cataract in lens capsule using a laser	23	21	$1452.00	$322.73
76514 Ultrasound scan of cornea to determine thickness	17	17	$150.00	$11.05
92060 Exam to measure eye deviation and range of motion	12	11	$98.00	$61.50
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$59.00	$27.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$210.00	$132.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	546	509	$200.00	$121.33
92012 Established patient problem focused exam of visual system	275	166	$147.56	$84.49
92083 Exam of visual field with extended testing	153	144	$150.00	$60.84
92133 Imaging of optic nerve	148	145	$145.00	$33.62
92134 Imaging of retina	115	92	$149.87	$38.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$229.75	$159.65
92136 Measurement of corneal curvature and depth of eye	63	43	$423.00	$53.41
66984 Removal of cataract with insertion of lens	59	34	$2354.75	$507.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$155.43	$104.51
66821 Removal of recurring cataract in lens capsule using a laser	23	19	$1452.00	$314.02
76514 Ultrasound scan of cornea to determine thickness	21	21	$150.00	$11.41
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$59.00	$26.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	567	520	$200.00	$117.22
92012 Established patient problem focused exam of visual system	249	161	$140.00	$81.20
92133 Imaging of optic nerve	145	144	$145.00	$33.13
92083 Exam of visual field with extended testing	138	133	$150.00	$59.03
92134 Imaging of retina	106	88	$149.86	$38.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$230.11	$152.55
66984 Removal of cataract with insertion of lens	69	40	$2388.70	$487.66
92136 Measurement of corneal curvature and depth of eye	64	43	$423.00	$58.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	44	$157.82	$100.62
66821 Removal of recurring cataract in lens capsule using a laser	26	24	$1452.00	$307.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$155.77	$101.08
92060 Exam to measure eye deviation and range of motion	12	12	$100.25	$55.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	592	552	$200.00	$117.69
92012 Established patient problem focused exam of visual system	279	175	$139.85	$81.17
92133 Imaging of optic nerve	170	170	$145.00	$33.69
92083 Exam of visual field with extended testing	160	157	$150.00	$60.54
92134 Imaging of retina	109	88	$149.82	$38.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$229.79	$155.12
66984 Removal of cataract with insertion of lens	92	59	$2683.26	$569.14
92136 Measurement of corneal curvature and depth of eye	87	59	$423.00	$65.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	40	$160.00	$103.07
66821 Removal of recurring cataract in lens capsule using a laser	32	30	$1452.00	$313.46
76514 Ultrasound scan of cornea to determine thickness	26	26	$150.00	$13.59

Medical Specialties & State Licenses

CMS Verified: 2022-02-22

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MI 4301050635

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

3103914 (MI)

Commercial Insurance / Payer ID Bcbs

1805601441 (MI)

Commercial Insurance / Payer ID Npi

1427052091 (MI)

Commercial Insurance / Payer ID Railroad Medicare

180032321 (MI)

Commercial Insurance / Payer ID Dmerc - Medicare

0256160001 (MI)

Commercial Insurance / Payer ID Medicaid (Gladwin Office)

104430921 (MI)

Hospital & Practice Group Affiliations

Jackson And Bigelow Md Pc

609 Quarter St, Gladwin, MI 486241941

Phone: 9896312020

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Christopher Bigelow , MD

Ophthalmology

NPI 1407853948

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location February 22, 2022

Registered at 400 JOSEPH DR STE B, MIDLAND, MI 486428636 (Tel: 9896312020)

📍

Updated Business Mailing Address February 22, 2022

Registered at 400 JOSEPH DR STE B, MIDLAND, MI 486428636 (Tel: 9896312020)

📍

Updated Practice Location August 07, 2018

Registered at 4201 CAMPUS RIDGE DR STE 2200, MIDLAND, MI 48640 (Tel: 9896312020)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2018

Ophthalmology (License #4301050635 in MI)

✅

NPI Profile Active June 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 19, 2012

Registered at 4011 ORCHARD DR, STE 2020, MIDLAND, MI 486406105 (Tel: 9896312020)

📍

Updated Business Mailing Address June 19, 2012

Registered at 4011 ORCHARD DR, SUITE 2020, MIDLAND, MI 486406190 (Tel: 9896312020)

👤

Provider Name / Credentials Updated June 19, 2012

Recorded as JAMES JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2012

Specialist (License #4301050635 in MI)

🟢

Initial NPI Registration & Enumeration June 10, 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: 1427052091

Entity Type:

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

Enumeration Date: June 10, 2005

Last Update: February 22, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 Joseph Dr Ste B

Midland, MI 486428636

Phone: 9896312020

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.