Active NPI 1477663318 Individual Practitioner Female Practitioner

Dr. Dena W Jackson , MD

Internal Medicine • Brookhaven, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dena Jackson, MD is a certified Internal Medicine practicing in Brookhaven, MS. With approximately 29 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1997, Dr. Jackson delivers high-quality medical care to the local community at 940 BROOKWAY BLVD.

Dr. Jackson maintains professional affiliations with Kings Daughters Medical Center, Kdmc Physician Clinics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, management using the results of remote vital sign monitoring per calendar month, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

940 Brookway Blvd

Brookhaven, MS 396012644

Telephone 6018235000

Fax 6018234140

Associated Practice Facility / Clinic

🏢 King's Daughters Medical Center Facility NPI 1003680729

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Brookhaven, MS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -1.1 yrs vs City Avg

City Avg: 30.1 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Brookhaven, MS (1017 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (29 Years) 29 Yrs

Brookhaven Specialty Average (30.1 Years) 30.1 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	233	196	$104.94	$99.71
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	137	26	$54.00	$33.42
99213 Established patient office or other outpatient visit, typically 15 minutes	97	88	$71.34	$69.44
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	90	27	$79.00	$37.53
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	49	24	$93.00	$41.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$162.00	$124.97
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	16	$81.00	$38.87
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	20	16	$100.00	$57.90
36415 Insertion of needle into vein for collection of blood sample	19	16	$21.37	$5.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$91.00	$50.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	549	358	$22.57	$8.15
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	449	46	$54.00	$36.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	441	298	$128.72	$112.09
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	337	49	$79.00	$44.41
99213 Established patient office or other outpatient visit, typically 15 minutes	288	222	$90.53	$79.76
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	253	42	$93.00	$42.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$162.00	$113.58
G0444 Annual depression screening, 5 to 15 minutes	182	182	$24.56	$16.66
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	177	160	$31.50	$7.61
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	152	36	$100.00	$58.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	19	$48.00	$12.91
0134A Fee covid-19 vac 14 res	45	45	$45.00	$37.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	14	$51.37	$48.47
85610 Blood test, clotting time	36	13	$17.00	$4.20
81002 Urinalysis, manual test	28	27	$12.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$207.36	$151.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	22	$28.68	$18.87
G0009 Administration of pneumococcal vaccine	22	22	$21.00	$20.58
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$285.00	$278.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$173.71	$158.00
71046 X-ray of chest, 2 views	19	19	$40.11	$17.98
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	15	$81.00	$37.56
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	16	11	$84.00	$32.79
81003 Automated urinalysis test	15	14	$10.00	$2.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$210.00	$146.18
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	12	$32.00	$5.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	810	410	$24.00	$2.95
99213 Established patient office or other outpatient visit, typically 15 minutes	511	330	$97.00	$83.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	233	$141.00	$118.73
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	312	232	$31.50	$7.64
G0444 Annual depression screening, 5 to 15 minutes	278	278	$25.00	$16.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	278	278	$162.00	$121.73
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	154	44	$54.00	$37.47
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	154	44	$79.00	$45.33
G0008 Administration of influenza virus vaccine	119	112	$21.00	$20.63
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	115	40	$93.00	$46.81
90662 Influenza vaccine split virus, preservative free	113	106	$74.00	$68.19
0064A Adm sarscov2 50mcg/0.25mlbst	102	99	$45.00	$34.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	21	$48.00	$13.15
81002 Urinalysis, manual test	71	59	$12.00	$3.44
0134A Fee covid-19 vac 14 res	49	49	$45.00	$34.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$217.00	$155.77
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	35	35	$28.00	$15.97
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	20	$81.00	$37.40
85610 Blood test, clotting time	30	13	$17.00	$4.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	15	$282.90	$97.66
71046 X-ray of chest, 2 views	29	28	$39.00	$20.09
G0009 Administration of pneumococcal vaccine	27	27	$21.00	$20.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	18	$180.70	$68.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	26	11	$18.00	$1.79
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	25	$32.00	$5.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	22	$34.00	$20.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	15	$91.00	$48.83
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$285.00	$278.55
99239 Hospital discharge day management, more than 30 minutes	14	13	$267.30	$99.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$210.00	$158.18
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$62.00	$33.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$144.00	$103.50
73030 X-ray of shoulder, minimum of 2 views	11	11	$52.00	$22.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	837	439	$24.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	312	$141.00	$121.08
99213 Established patient office or other outpatient visit, typically 15 minutes	466	301	$97.00	$84.30
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	351	275	$31.50	$7.73
G0444 Annual depression screening, 5 to 15 minutes	319	319	$25.00	$17.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	318	318	$162.00	$123.90
G0008 Administration of influenza virus vaccine	117	112	$21.00	$15.28
81002 Urinalysis, manual test	114	88	$12.00	$3.46
90662 Influenza vaccine split virus, preservative free	101	98	$73.17	$64.95
0064A Adm sarscov2 50mcg/0.25mlbst	99	99	$45.00	$35.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$217.00	$154.92
71046 X-ray of chest, 2 views	49	44	$39.00	$19.78
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	46	22	$81.00	$37.55
85610 Blood test, clotting time	35	17	$17.00	$4.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	26	$91.00	$48.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	13	$48.00	$13.05
G0009 Administration of pneumococcal vaccine	23	23	$21.00	$15.33
0011A Adm sarscov2 100mcg/0.5ml1st	22	22	$45.00	$35.87
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	20	19	$32.00	$5.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$210.00	$157.93
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	14	$45.00	$20.35
0013A Adm sarscov2 100mcg/0.5ml3rd	16	16	$45.00	$35.87
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$98.00	$98.00
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$62.00	$32.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$34.00	$20.42
73630 X-ray of foot, minimum of 3 views	12	11	$46.00	$22.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$57.00	$51.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	883	445	$24.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	809	430	$141.00	$101.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	373	287	$31.50	$7.65
99213 Established patient office or other outpatient visit, typically 15 minutes	255	196	$97.00	$69.01
G0008 Administration of influenza virus vaccine	172	169	$21.00	$15.32
81002 Urinalysis, manual test	125	94	$12.00	$3.46
90662 Influenza vaccine split virus, preservative free	92	89	$60.00	$59.33
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	80	80	$45.00	$19.51
G0009 Administration of pneumococcal vaccine	65	65	$21.00	$15.28
71046 X-ray of chest, 2 views	60	54	$39.00	$18.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$162.00	$106.77
G0444 Annual depression screening, 5 to 15 minutes	54	54	$25.00	$16.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$217.00	$153.95
85610 Blood test, clotting time	44	18	$17.00	$4.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$98.00	$97.80
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	14	$81.00	$37.76
90670 Pneumococcal vaccine for injection into muscle	26	26	$190.00	$188.39
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	23	$32.00	$7.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$57.00	$41.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$91.00	$49.62
80307 Testing for presence of drug, by chemistry analyzers	15	14	$125.00	$60.98
73130 X-ray of hand, minimum of 3 views	14	13	$48.29	$22.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$34.00	$21.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	993	463	$24.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	754	385	$141.00	$100.32
99213 Established patient office or other outpatient visit, typically 15 minutes	371	248	$97.00	$68.03
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	349	275	$31.50	$8.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	216	216	$162.00	$107.02
G0444 Annual depression screening, 5 to 15 minutes	213	213	$25.00	$16.49
G0008 Administration of influenza virus vaccine	179	178	$21.00	$15.04
81002 Urinalysis, manual test	151	111	$12.00	$3.41
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	134	134	$45.00	$18.65
G0009 Administration of pneumococcal vaccine	107	107	$21.00	$14.90
71046 X-ray of chest, 2 views	85	79	$39.74	$18.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$217.00	$150.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	68	68	$210.00	$158.72
90670 Pneumococcal vaccine for injection into muscle	61	61	$190.00	$186.20
85610 Blood test, clotting time	60	21	$17.00	$4.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg	54	13	$4.25	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	26	$48.00	$15.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	47	47	$98.00	$94.00
90662 Influenza vaccine split virus, preservative free	45	45	$60.00	$53.67
83036 Hemoglobin A1C level	36	34	$33.00	$9.98
80307 Testing for presence of drug, by chemistry analyzers	30	21	$125.00	$63.36
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	16	$81.00	$37.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$91.00	$48.91
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$32.00	$7.28
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	$271.00	$191.22
73030 X-ray of shoulder, minimum of 2 views	14	14	$54.14	$18.52
72110 X-ray of lower and sacral spine, minimum of 4 views	13	12	$62.00	$30.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$34.00	$20.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,011	397	$24.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	554	284	$97.00	$66.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	294	$141.00	$98.69
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	362	250	$31.50	$9.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	152	152	$210.00	$157.80
G0008 Administration of influenza virus vaccine	142	137	$21.00	$18.40
81002 Urinalysis, manual test	123	107	$12.00	$3.41
G0444 Annual depression screening, 5 to 15 minutes	107	107	$25.00	$16.31
G0009 Administration of pneumococcal vaccine	105	105	$21.00	$18.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$162.00	$106.71
71046 X-ray of chest, 2 views	98	84	$39.00	$16.56
J1100 Injection, dexamethasone sodium phosphate, 1 mg	80	19	$4.25	$0.11
85610 Blood test, clotting time	79	20	$17.00	$4.75
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	79	77	$45.00	$18.65
90662 Influenza vaccine split virus, preservative free	63	63	$60.00	$52.30
90670 Pneumococcal vaccine for injection into muscle	58	58	$190.00	$186.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$217.00	$151.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	46	46	$98.00	$96.04
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	24	$81.00	$37.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	24	$48.00	$18.53
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	15	$47.00	$16.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	30	$91.00	$49.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$271.00	$190.46
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	22	$34.00	$19.54
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	21	$32.00	$7.17
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$47.00	$15.35
72110 X-ray of lower and sacral spine, minimum of 4 views	17	17	$62.00	$28.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$57.00	$40.05
72050 X-ray of upper spine, 4 or 5 views	12	12	$77.00	$25.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$144.00	$98.65
80307 Testing for presence of drug, by chemistry analyzers	11	11	$125.00	$70.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$192.00	$134.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,021	12	$22.95	$16.64
36415 Insertion of needle into vein for collection of blood sample	921	367	$24.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	496	256	$141.00	$98.48
99213 Established patient office or other outpatient visit, typically 15 minutes	451	229	$97.00	$66.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	330	223	$31.50	$10.39
71020 X-ray of chest, 2 views, front and side	151	114	$84.00	$14.58
G0009 Administration of pneumococcal vaccine	136	136	$30.60	$21.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$217.46	$151.08
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	116	116	$210.00	$156.98
90670 Pneumococcal vaccine for injection into muscle	115	115	$190.00	$181.84
G0008 Administration of influenza virus vaccine	114	111	$21.00	$20.58
81002 Urinalysis, manual test	113	88	$12.00	$3.37
85610 Blood test, clotting time	88	26	$17.00	$5.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	67	65	$41.12	$18.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	56	12	$4.25	$0.12
87804 Detection test by immunoassay with direct visual observation for influenza virus	54	25	$47.00	$16.11
90662 Influenza vaccine split virus, preservative free	47	47	$60.00	$48.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	28	$48.00	$22.77
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	44	39	$47.00	$16.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$271.00	$190.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	33	$34.00	$18.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	39	$57.00	$39.45
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	23	$81.00	$37.56
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	35	34	$32.00	$7.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	28	$192.00	$133.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$162.00	$105.71
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$62.00	$28.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	25	$91.00	$49.08
G0444 Annual depression screening, 5 to 15 minutes	29	29	$25.00	$16.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$98.00	$94.96
72050 X-ray of upper spine, 4 or 5 views	21	21	$77.00	$25.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$144.00	$98.57
73030 X-ray of shoulder, minimum of 2 views	16	15	$52.00	$16.74
83036 Hemoglobin A1C level	13	13	$33.00	$13.05
73130 X-ray of hand, minimum of 3 views	11	11	$52.00	$18.85
72070 X-ray of middle spine, 2 views	11	11	$54.00	$19.49
73562 X-ray of knee, 3 views	11	11	$49.00	$22.55

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MS 15989

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00124165 (MS)

Commercial Insurance / Payer ID Rr Medicare

P01402452 (MS)

Hospital & Practice Group Affiliations

Kdmc Physician Clinics Llc

940 Brookway Blvd, Brookhaven, MS 396012644

Phone: 6018235000

Kings Daughters Medical Center

427 Hwy 51 N, Brookhaven, MS 396012350

Phone: 6018336011

Practice Associates & Co-Workers

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

6 Associated Practitioners

Tonya Hughey , CFNP

Nurse Practitioner - Family

NPI 1013026947

Dr. Ramiro Montalvo , MD

Internal Medicine

NPI 1225147135

Doctor of Medicine (M.D.)

Daniel Moore , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1326575069

NURSEPRACTITIONER

Dr. Craig Berteau , MD

Psychiatry & Neurology - Neurology

NPI 1518130392

Doctor of Medicine (M.D.)

Karla Gerald , FNP

Nurse Practitioner - Family

NPI 1518299213

Family Nurse Practitioner

Ashton Newman , FNP-C

Nurse Practitioner - Family

NPI 1578341459

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2016

Registered at 940 BROOKWAY BLVD, BROOKHAVEN, MS 396012644 (Tel: 6018235000)

📍

Updated Business Mailing Address November 11, 2016

Registered at 940 BROOKWAY BLVD, BROOKHAVEN, MS 396012644 (Tel: 6018235000)

👤

Provider Name / Credentials Updated November 11, 2016

Recorded as DENA JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2016

Internal Medicine (License #15989 in MS)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1477663318

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: November 11, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

940 Brookway Blvd

Brookhaven, MS 396012644

Phone: 6018235000

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.