Active NPI 1831208768 Individual Practitioner Male Practitioner

Dr. Carl E. Jackson , MD

Surgery • Highland Heights, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carl Jackson, MD is a certified Surgery practicing in Highland Heights, OH. With approximately 39 years of clinical experience since graduating from Howard University College Of Medicine in 1987, Dr. Jackson delivers high-quality medical care to the local community at 386 MEDWAY RD.

Dr. Jackson maintains professional affiliations with St. Joseph'S Hospital And Health Center, Riverton Physician Practices, Llc, River Valley Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

386 Medway Rd

Highland Heights, OH 441433734

Telephone 4409531898

Fax 4404600749

Associated Practice Facility / Clinic

🏢 Special Hands, Llc Facility NPI 1417171273

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Highland Heights, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs Matches City Avg

City Avg: 39.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Highland Heights, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (39 Years) 39 Yrs

Highland Heights Specialty Average (39.0 Years) 39.0 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$415.95	$124.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$408.00	$168.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$252.00	$192.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$420.75	$71.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$138.63	$38.30
43246 Insertion of stomach tube using a flexible endoscope	11	11	$412.00	$197.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	21	$49.00	$37.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$252.00	$196.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$90.00	$70.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$336.43	$203.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$396.62	$200.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	22	$64.67	$38.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$323.95	$197.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$261.75	$134.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	20	$50.00	$36.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	27	$263.24	$187.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	24	$201.67	$124.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$101.05	$67.91
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$134.69	$94.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	29	$50.38	$35.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$253.00	$185.17
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$127.00	$92.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$178.00	$131.00

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35057489

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0881247 (OH)

Hospital & Practice Group Affiliations

River Valley Physicians Llc

425 W 5th St, East Liverpool, OH 439202405

Phone: 3303865870

St. Joseph's Hospital And Health Center

2500 Fairway St, Dickinson, ND 586012639

Phone: 7014564000

Riverton Physician Practices, Llc

1005 College View Dr, Riverton, WY 825012289

Phone: 3078573486

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active May 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 02, 2017

Registered at 386 MEDWAY RD, HIGHLAND HEIGHTS, OH 441433734 (Tel: 4409531898)

📍

Updated Business Mailing Address May 02, 2017

Registered at 386 MEDWAY RD, HIGHLAND HEIGHTS, OH 441433734 (Tel: 4409531898)

👤

Provider Name / Credentials Updated May 02, 2017

Recorded as CARL JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2017

Surgery (License #35057489 in OH)

✅

NPI Profile Active December 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 15, 2011

Registered at 36001 EUCLID AVENUE, SUITE B3, LHPG VASCULAR ACCESS SURGERY, WILLOUGHBY, OH 44094 (Tel: 4409531898)

📍

Updated Business Mailing Address December 15, 2011

Registered at P.O. BOX 714328, COLUMBUS, OH 432714328 (Tel: 4409531898)

👤

Provider Name / Credentials Updated December 15, 2011

Recorded as CARL JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2011

Surgery (License #35057489 in OH)

🟢

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: 1831208768

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: May 02, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

386 Medway Rd

Highland Heights, OH 441433734

Phone: 4409531898

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.