Active NPI 1245330950 Individual Practitioner Male Practitioner

Dr. Thomas E Jackson , MD

Internal Medicine • Summit, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jackson, MD is a certified Internal Medicine practicing in Summit, NJ. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Jackson delivers high-quality medical care to the local community at 47 MAPLE ST #205.

Dr. Jackson accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

47 Maple St #205

Summit, NJ 07901

Telephone 9085229400

Fax 9085223226

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Summit, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +25.1 yrs vs City Avg

City Avg: 19.9 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

56 Specialists

Practicing in Summit, NJ (4957 Statewide)

Telehealth Adoption Rate

19.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

2.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (45 Years) 45 Yrs

Summit Specialty Average (19.9 Years) 19.9 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	665	277	$140.47	$138.43
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	330	213	$17.50	$17.23
36415 Insertion of needle into vein for collection of blood sample	236	203	$3.00	$2.94
99497 Advance care planning, first 30 minutes	225	225	$88.80	$86.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	198	198	$142.79	$139.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	170	170	$21.52	$21.09
93000 Routine ekg using at least 12 leads including interpretation and report	167	160	$15.82	$15.58
G0008 Administration of influenza virus vaccine	99	98	$34.38	$33.69
90662 Influenza vaccine split virus, preservative free	98	97	$83.11	$81.44
G0444 Annual depression screening, 5 to 15 minutes	38	38	$21.54	$21.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	30	$197.26	$194.03
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$181.42	$177.52
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	18	18	$15.84	$15.64
G0009 Administration of pneumococcal vaccine	18	17	$29.60	$29.01
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	17	$283.71	$278.04
81002 Urinalysis, manual test	13	13	$5.77	$3.41

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	687	277	$143.00	$140.98
36415 Insertion of needle into vein for collection of blood sample	278	223	$3.00	$2.94
99497 Advance care planning, first 30 minutes	213	213	$91.30	$89.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$145.27	$142.19
93000 Routine ekg using at least 12 leads including interpretation and report	153	150	$16.62	$16.17
G0008 Administration of influenza virus vaccine	86	84	$34.38	$33.69
90662 Influenza vaccine split virus, preservative free	85	83	$64.95	$63.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	30	$200.06	$196.79
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$185.26	$181.42
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	19	19	$16.40	$16.28
G0009 Administration of pneumococcal vaccine	17	17	$29.60	$29.01
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$283.71	$278.04

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	581	252	$144.63	$144.53
36415 Insertion of needle into vein for collection of blood sample	257	199	$3.00	$2.96
99497 Advance care planning, first 30 minutes	198	198	$93.87	$93.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$148.04	$148.01
93000 Routine ekg using at least 12 leads including interpretation and report	142	139	$21.18	$16.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	14	$111.27	$111.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	40	$203.22	$203.12
90662 Influenza vaccine split virus, preservative free	43	43	$69.68	$68.35
G0008 Administration of influenza virus vaccine	42	42	$34.15	$33.50
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	29	29	$188.41	$188.86
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	23	23	$16.38	$16.36
G0009 Administration of pneumococcal vaccine	17	17	$29.60	$29.27
99239 Hospital discharge day management, more than 30 minutes	17	14	$115.28	$115.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	14	$215.31	$215.56
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$89.90	$88.94
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$102.79	$102.45

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	473	227	$144.97	$146.42
36415 Insertion of needle into vein for collection of blood sample	216	179	$3.00	$3.00
99497 Advance care planning, first 30 minutes	172	172	$102.35	$95.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$147.81	$149.92
93000 Routine ekg using at least 12 leads including interpretation and report	147	137	$21.18	$17.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	137	16	$122.37	$113.37
G0008 Administration of influenza virus vaccine	91	89	$29.60	$19.51
90662 Influenza vaccine split virus, preservative free	79	79	$65.26	$65.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	27	$203.23	$205.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$89.90	$89.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	15	$238.58	$219.87
99239 Hospital discharge day management, more than 30 minutes	21	15	$128.77	$117.90
G0009 Administration of pneumococcal vaccine	20	20	$29.60	$19.43
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$188.18	$190.87
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$21.16	$17.01
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$98.83	$99.52

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	387	210	$133.00	$123.64
36415 Insertion of needle into vein for collection of blood sample	231	182	$3.00	$2.99
99497 Advance care planning, first 30 minutes	182	182	$102.35	$95.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	166	166	$131.46	$132.58
93000 Routine ekg using at least 12 leads including interpretation and report	145	142	$21.18	$19.72
G0008 Administration of influenza virus vaccine	64	64	$29.60	$19.03
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	60	60	$61.00	$61.00
G0102 Prostate cancer screening; digital rectal examination	41	41	$26.51	$26.79
G0009 Administration of pneumococcal vaccine	31	29	$29.60	$18.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	24	$177.51	$165.48
90670 Pneumococcal vaccine for injection into muscle	21	20	$181.00	$179.79
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$91.13	$83.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$186.71	$188.90
99443 Telephone medical discussion with physician, 21-30 minutes	16	12	$150.00	$122.64
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$21.16	$19.61

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	502	243	$133.00	$115.11
36415 Insertion of needle into vein for collection of blood sample	243	193	$3.03	$2.94
99497 Advance care planning, first 30 minutes	181	181	$102.33	$89.29
93000 Routine ekg using at least 12 leads including interpretation and report	172	167	$21.18	$18.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	169	$143.24	$123.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	25	$123.85	$108.12
G0008 Administration of influenza virus vaccine	74	74	$29.60	$18.67
90662 Influenza vaccine split virus, preservative free	69	69	$56.00	$54.88
G0009 Administration of pneumococcal vaccine	36	36	$29.60	$18.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	27	$241.08	$209.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$177.50	$153.22
99239 Hospital discharge day management, more than 30 minutes	29	25	$128.77	$111.88
90670 Pneumococcal vaccine for injection into muscle	23	23	$181.00	$177.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$204.34	$174.87
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	19	19	$21.16	$18.38
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$91.13	$78.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$89.90	$88.10
99226 Subsequent observation care, typically 35 minutes per day	13	11	$125.70	$109.43
99496 Transitional care management services for problem of high complexity	11	11	$284.29	$244.07

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	593	259	$131.93	$109.75
36415 Insertion of needle into vein for collection of blood sample	266	211	$3.00	$2.94
99497 Advance care planning, first 30 minutes	196	196	$98.14	$84.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	188	188	$144.46	$119.41
93000 Routine ekg using at least 12 leads including interpretation and report	181	174	$21.16	$17.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	141	41	$124.62	$103.47
G0008 Administration of influenza virus vaccine	104	98	$29.60	$23.23
90653 Vaccine for influenza for injection into muscle	100	96	$37.38	$36.63
99239 Hospital discharge day management, more than 30 minutes	48	43	$129.98	$107.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	39	$242.48	$201.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	31	$177.32	$147.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	18	$54.53	$45.47
G0009 Administration of pneumococcal vaccine	26	26	$29.60	$23.23
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$89.63	$74.52
99496 Transitional care management services for problem of high complexity	17	15	$283.92	$237.66
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$21.16	$17.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$204.34	$168.91
90670 Pneumococcal vaccine for injection into muscle	13	13	$181.00	$177.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$89.90	$88.10

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	550	263	$131.35	$112.75
36415 Insertion of needle into vein for collection of blood sample	271	222	$3.00	$2.94
99497 Advance care planning, first 30 minutes	213	213	$98.57	$84.30
93000 Routine ekg using at least 12 leads including interpretation and report	207	202	$21.16	$18.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$142.95	$121.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	169	45	$124.73	$106.72
G0008 Administration of influenza virus vaccine	109	108	$29.48	$28.90
90653 Vaccine for influenza for injection into muscle	99	98	$37.38	$36.63
99239 Hospital discharge day management, more than 30 minutes	57	51	$128.90	$110.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	48	$243.28	$205.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	34	$54.01	$46.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$176.26	$151.20
99226 Subsequent observation care, typically 35 minutes per day	32	23	$125.65	$107.55
G0009 Administration of pneumococcal vaccine	28	28	$28.44	$27.87
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	24	23	$260.34	$218.16
99496 Transitional care management services for problem of high complexity	17	16	$283.85	$242.94
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	16	12	$130.65	$112.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$79.68	$78.09
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$21.16	$18.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$203.25	$159.93
90670 Pneumococcal vaccine for injection into muscle	12	12	$181.00	$177.38

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA48570

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

Commercial Insurance / Payer ID Oxford

UP138

Commercial Insurance / Payer ID Aetna

11383

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 24, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2010

Registered at 47 MAPLE ST #205, SUMMIT, NJ 07901 (Tel: 9085229400)

📍

Updated Business Mailing Address June 24, 2010

Registered at 47 MAPLE ST #205, SUMMIT, NJ 07901 (Tel: 9085229400)

👤

Provider Name / Credentials Updated June 24, 2010

Recorded as THOMAS JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2010

Internal Medicine (License #MA48570 in NJ)

🟢

Initial NPI Registration & Enumeration September 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245330950

Entity Type:

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

Enumeration Date: September 23, 2006

Last Update: June 24, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

47 Maple St #205

Summit, NJ 07901

Phone: 9085229400

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.