Active NPI 1376805812 Individual Practitioner Male Practitioner

Dr. Nathan Andrew Merl Jackson , DO

Dermatology • Danville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Jackson, DO is a certified Dermatology practicing in Danville, VA. With approximately 14 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 2012, Dr. Jackson delivers high-quality medical care to the local community at 117 EXECUTIVE DR.

Dr. Jackson is affiliated with Complexions Dermatology, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established 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

117 Executive Dr

Danville, VA 245414101

Telephone 4347920423

Associated Practice Facility / Clinic

🏢 Commonwealth Pharmacy, Inc Facility NPI 1215923719

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Danville, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -2.5 yrs vs City Avg

City Avg: 16.5 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Danville, VA (440 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (14 Years) 14 Yrs

Danville Specialty Average (16.5 Years) 16.5 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
17003 Destruction of precancer skin growth, 2-14 growths	625	149	$47.00	$6.46
99213 Established patient office or other outpatient visit, typically 15 minutes	548	328	$137.22	$87.45
17000 Destruction of skin growth	272	203	$156.00	$60.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	109	$170.88	$121.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$170.83	$107.12
11102 Tangential biopsy of single skin lesion	100	87	$155.00	$90.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	33	$85.26	$54.71
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	27	$425.00	$258.91
11103 Biopsy of related skin growth, each additional growth	27	17	$104.40	$48.42
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	26	26	$1150.00	$620.06
17110 Destruction of up to 14 skin growths	24	13	$168.00	$110.51
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	21	16	$575.00	$386.97
96574 Application of light with debridement to destroy precancer skin growth	19	16	$529.00	$266.47
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	16	16	$720.00	$399.31
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$346.00	$133.89
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$680.00	$371.70
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$252.00	$83.25
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$363.00	$276.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	273	70	$47.00	$6.73
99213 Established patient office or other outpatient visit, typically 15 minutes	227	174	$119.00	$89.14
17000 Destruction of skin growth	99	82	$156.00	$60.30
11102 Tangential biopsy of single skin lesion	58	45	$155.00	$97.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$155.00	$122.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$77.00	$56.37
11103 Biopsy of related skin growth, each additional growth	22	13	$104.40	$50.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,598	314	$47.00	$6.89
99213 Established patient office or other outpatient visit, typically 15 minutes	869	539	$119.00	$90.94
17000 Destruction of skin growth	537	349	$156.00	$63.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	195	195	$155.00	$112.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	113	$155.00	$126.40
11102 Tangential biopsy of single skin lesion	122	107	$155.00	$100.99
17110 Destruction of up to 14 skin growths	72	64	$168.00	$114.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	61	$77.00	$57.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	19	$12.00	$1.10
11104 Punch biopsy, first skin growth	26	25	$242.96	$130.50
11103 Biopsy of related skin growth, each additional growth	21	17	$104.40	$52.15
11900 Injection into skin growth, 1-7 growths	18	15	$120.00	$54.68
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	12	$252.00	$88.23
10060 Simple or single drainage of skin abscess	15	14	$174.00	$123.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$425.00	$310.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,206	251	$47.00	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	728	473	$119.00	$90.84
17000 Destruction of skin growth	411	289	$156.00	$58.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$155.00	$111.48
11102 Tangential biopsy of single skin lesion	144	137	$155.00	$99.22
17110 Destruction of up to 14 skin growths	122	104	$168.00	$112.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	89	$155.00	$123.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	68	$77.00	$54.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	15	$12.00	$1.30
11103 Biopsy of related skin growth, each additional growth	30	25	$104.40	$53.74
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	24	$425.00	$301.54
10060 Simple or single drainage of skin abscess	20	15	$174.00	$112.91
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	12	$438.00	$188.42
11104 Punch biopsy, first skin growth	12	11	$242.96	$110.38
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	11	$347.00	$166.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	859	184	$47.00	$6.03
99213 Established patient office or other outpatient visit, typically 15 minutes	503	325	$100.07	$74.41
17000 Destruction of skin growth	271	215	$156.00	$58.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	165	$134.33	$108.77
11102 Tangential biopsy of single skin lesion	133	126	$144.19	$94.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$145.59	$106.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	29	$12.00	$1.46
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$103.48	$76.26
17110 Destruction of up to 14 skin growths	47	46	$163.32	$108.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	33	$70.68	$45.57
11103 Biopsy of related skin growth, each additional growth	34	30	$104.40	$53.53
11900 Injection into skin growth, 1-7 growths	22	17	$120.00	$48.07
10060 Simple or single drainage of skin abscess	18	13	$164.00	$123.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	14	$16.24	$12.39
11104 Punch biopsy, first skin growth	16	16	$242.96	$119.44
17004 Destruction of precancer skin growth, 15 or more growths	14	13	$558.00	$159.30
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$523.00	$334.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,336	240	$47.00	$5.56
99213 Established patient office or other outpatient visit, typically 15 minutes	676	404	$91.00	$73.12
17000 Destruction of skin growth	375	265	$156.00	$59.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	204	204	$139.00	$105.74
11102 Tangential biopsy of single skin lesion	183	156	$139.20	$93.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	146	$124.00	$106.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	86	32	$12.00	$1.58
99202 New patient office or other outpatient visit, typically 20 minutes	80	80	$102.00	$73.94
17110 Destruction of up to 14 skin growths	52	46	$158.00	$108.67
11103 Biopsy of related skin growth, each additional growth	44	35	$104.40	$51.65
11104 Punch biopsy, first skin growth	30	29	$242.96	$113.13
11900 Injection into skin growth, 1-7 growths	28	22	$120.00	$50.09
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$523.00	$395.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	13	$12.00	$11.82
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	16	$392.00	$350.88
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	15	14	$575.00	$391.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$67.00	$43.86
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	13	13	$409.00	$156.57
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	13	13	$230.00	$122.96
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$438.00	$187.62
10060 Simple or single drainage of skin abscess	11	11	$154.00	$118.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	944	194	$47.00	$5.19
99213 Established patient office or other outpatient visit, typically 15 minutes	451	306	$91.00	$72.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	351	351	$139.00	$105.76
17000 Destruction of skin growth	277	216	$156.00	$58.13
11100 Biopsy of single growth of skin and/or tissue	231	211	$136.00	$99.92
99202 New patient office or other outpatient visit, typically 20 minutes	171	171	$102.00	$73.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	83	$124.00	$106.77
17110 Destruction of up to 14 skin growths	93	77	$158.00	$106.30
11101 Biopsy of each additional growth of skin and/or tissue	74	54	$107.00	$32.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	15	$12.00	$1.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$67.00	$43.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$331.00	$270.83
69100 Biopsy of ear	17	16	$132.00	$73.88
11900 Injection into skin growth, 1-7 growths	14	12	$120.00	$50.06
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$523.00	$320.44
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$409.00	$229.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	155	37	$47.00	$5.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$139.00	$106.29
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$91.00	$71.89
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$102.00	$73.60
17000 Destruction of skin growth	41	41	$156.00	$60.12
11100 Biopsy of single growth of skin and/or tissue	30	30	$136.00	$100.22
17110 Destruction of up to 14 skin growths	19	18	$158.00	$109.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$124.00	$105.77

Medical Specialties & State Licenses

CMS Verified: 2021-10-19

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License VA 1376805821

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License PA OT014572

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Complexions Dermatology, Pc

117 Executive Dr, Danville, VA 245414101

Phone: 4347920423

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Keith Robinson , DO

Dermatology

NPI 1174704183

Doctor of Osteopathic Medicine (D.O.)

Marian Mizelle , PA-C

Physician Assistant

NPI 1205578242

Physician Assistant (Certified)

Phyllis Scarce , FNP, PNP

Nurse Practitioner - Family

NPI 1316996986

Family Nurse Practitioner, Pediatric Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location October 19, 2021

Registered at 117 EXECUTIVE DR, DANVILLE, VA 245414101 (Tel: 4347920423)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Family Medicine (License #OT014572 in PA)

✅

NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 21, 2017

Registered at 4545 RIVERSIDE DR STE D, DANVILLE, VA 245415173 (Tel: 4347920423)

📍

Updated Practice Location August 21, 2017

Registered at 4545 RIVERSIDE DR STE D, DANVILLE, VA 245415173 (Tel: 4347920423)

👤

Provider Name / Credentials Updated August 21, 2017

Recorded as NATHAN JACKSON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Family Medicine (License #OT014572 in PA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Dermatology (License #1376805821 in VA)

📍

Updated Practice Location August 01, 2017

Registered at 4545 RIVERSIDE DR STE D, DANVILLE, VA 245415173 (Tel: 4347920423)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2017

Dermatology (License #1376805821 in VA)

✅

NPI Profile Active June 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 11, 2012

Registered at 501 HOWARD AVE, SUITE F2, ALTOONA, PA 166014882 (Tel: 8148892701)

📍

Updated Business Mailing Address June 11, 2012

Registered at 501 HOWARD AVE, SUITE F2, ALTOONA, PA 166014882 (Tel: 8148892020)

👤

Provider Name / Credentials Updated June 11, 2012

Recorded as NATHAN JACKSON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2012

Family Medicine (License #OT014572 in PA)

🟢

Initial NPI Registration & Enumeration June 11, 2012

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: 1376805812

Entity Type:

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

Enumeration Date: June 11, 2012

Last Update: October 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4545 Riverside Dr Ste D

Danville, VA 245415173

Phone: 4347920423

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.