Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194858688 Individual Practitioner Male Practitioner

Dr. William Dotie Jackson , MD

Surgery - Plastic and Reconstructive Surgery • Madison, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Jackson, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Madison, MS. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Jackson delivers high-quality medical care to the local community at 160 FOUNTAINS BLVD STE B.

Dr. Jackson is affiliated with Mississippi Premier Plastic Surgery Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

160 Fountains Blvd Ste B

Madison, MS 391106343

Telephone 6019812525
Fax 6019813152
Associated Practice Facility / Clinic
🏢 S Songcharoen Md, Facs, Pllc Facility NPI 1215100599

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Madison, MS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs -10.0 yrs vs City Avg
City Avg: 34.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Madison, MS (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (24 Years) 24 Yrs
Madison Specialty Average (34.0 Years) 34.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
39 35 $140.00 $86.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
30 21 $90.00 $52.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $199.00 $105.72
17000 Destruction of skin growth
13 12 $187.00 $62.58

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MS 19747

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

Mississippi Premier Plastic Surgery Pllc

160 Fountains Blvd, Madison, MS 391106380

Phone: 6019812525

Secondary Practice Locations

971 Lakeland Dr, Suite 315

Jackson, MS 392164607

Phone: 6019812525

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Frederick Sailes , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1275744450

Doctor of Medicine (M.D.)

Dr. Erica Bass , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1366604100

Doctor of Medicine (M.D.)

Dr. Emile Picarella , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1467663906

Doctor of Medicine (M.D.)

Dr. Somprasong Songcharoen , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1689615486

Doctor of Medicine (M.D.)

Dr. George Howell , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1699730150

Doctor of Medicine (M.D.)

NPI 1720719453

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 19, 2018

Registered at 160 FOUNTAINS BLVD STE B, MADISON, MS 391106343 (Tel: 6019812525)

📍
Updated Business Mailing Address November 19, 2018

Registered at 160 FOUNTAINS BLVD STE B, MADISON, MS 391106343 (Tel: 6019812525)

👤
Provider Name / Credentials Updated November 19, 2018

Recorded as WILLIAM JACKSON, MD

NPI Profile Active July 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2010

Registered at 971 LAKELAND DR, SUITE 315, JACKSON, MS 392164607 (Tel: 6019812525)

📍
Updated Business Mailing Address July 26, 2010

Registered at 971 LAKELAND DR, SUITE 315, JACKSON, MS 392164643 (Tel: 6019812525)

👤
Provider Name / Credentials Updated July 26, 2010

Recorded as WILLIAM JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2010

Surgery (License #19747 in MS)

🟢
Initial NPI Registration & Enumeration March 13, 2007

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 Dr. William Jackson. Be the first to share your experience!

Sign in to leave a review for Dr. William Jackson

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

NPI Administrative Meta

NPI Number: 1194858688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: November 19, 2018
Sole Proprietor: No

Mailing Address

160 Fountains Blvd Ste B

Madison, MS 391106343

Phone: 6019812525

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.