Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164849352 Individual Practitioner Male Practitioner

Dr. Kyle Jackson , MD, PhD

Surgery • Philadelphia, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Jackson, MD, PhD is a certified Surgery practicing in Philadelphia, PA. With approximately 12 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 2014, Dr. Jackson delivers high-quality medical care to the local community at 3400 SPRUCE STREET.

Dr. Jackson maintains professional affiliations with Children'S Surgical Associates Ltd, University Of Penn - Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include transplantation of donor kidney, preparation of donor kidney for transplantation, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3400 Spruce Street
4 Silverstein

Philadelphia, PA 101044206

Telephone 2156154949
Fax 2156622244
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Philadelphia, PA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -8.6 yrs vs City Avg
City Avg: 20.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
455 Specialists

Practicing in Philadelphia, PA (1976 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (12 Years) 12 Yrs
Philadelphia Specialty Average (20.6 Years) 20.6 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
50360 Transplantation of donor kidney
38 38 $6857.58 $1531.41
50323 Preparation of donor kidney for transplantation
29 29 $1442.86 $282.48
50327 Preparation of donor kidney for transplantation
13 13 $550.38 $67.52

Medical Specialties & State Licenses

CMS Verified: 2024-10-25
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD485481

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.

Hospital & Practice Group Affiliations

University Of Penn - Medical Group

3400 Spruce St, Philadelphia, PA 191044238

Phone: 2156154949

Children's Surgical Associates Ltd

3401 Civic Ctr Blvd, Philadelphia, PA 191044319

Phone: 2674259505

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Philippe Szapary , MD

Internal Medicine - Cardiovascular Disease

NPI 1003009085

Doctor of Medicine (M.D.)

Janet Helm , CRNP

Nurse Practitioner - Acute Care

NPI 1023185154

Certified Registered Nurse Practitioner

Dr. Michael Parmacek , MD

Internal Medicine - Cardiovascular Disease

NPI 1063444354

Doctor of Medicine (M.D.)

Jeanne Papa , CRNP

Nurse Practitioner - Acute Care

NPI 1063646065

Certified Registered Nurse Practitioner

Katie Hummel , CRNP

Nurse Practitioner - Acute Care

NPI 1063770170

Certified Registered Nurse Practitioner

Venessa Medina

Nurse Practitioner - Gerontology

NPI 1063910651

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location October 30, 2024

Registered at 3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 101044206 (Tel: 2156154949)

📍
Updated Business Mailing Address October 30, 2024

Registered at 3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 101044206 (Tel: 2156154949)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2024

Surgery (License #MD485481 in PA)

📍
Updated Practice Location March 21, 2022

Registered at 101 WOODRUFF CIRCLE WMB SUITE 51505, ATLANTA, GA 303222109 (Tel: 8553667989)

📍
Updated Business Mailing Address March 21, 2022

Registered at 101 WOODRUFF CIRCLE WMB SUITE 51505, ATLANTA, GA 303220001 (Tel: 8553667989)

👤
Provider Name / Credentials Updated March 21, 2022

Recorded as KYLE JACKSON, M.D., PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2022

Surgery (License #91328 in GA)

NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2014

Registered at 600 N WOLFE ST TOWER 110, THE JOHNS HOPKINS HOSPITAL, BALTIMORE, MD 212872109 (Tel: 4109555020)

📍
Updated Business Mailing Address July 23, 2014

Registered at 600 N WOLFE ST TOWER 110, THE JOHNS HOPKINS SCHOOL OF MEDICINE, BALTIMORE, MD 212872109 (Tel: 4109555020)

👤
Provider Name / Credentials Updated July 23, 2014

Recorded as KYLE JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2014

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: 1164849352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2014
Last Update: October 30, 2024
Sole Proprietor: Yes

Mailing Address

3400 Spruce Street, 4 Silverstein

Philadelphia, PA 101044206

Phone: 2156154949

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.