Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578621843 Individual Practitioner Male Practitioner

Dr. Kenneth William Jackson , MD

Orthopaedic Surgery • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Jackson, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Fairfax, VA. Practice services are available at 12255 FAIR LAKES PARKWAY under active NPI credentials.

Frequently performed procedures and clinical services include 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

12255 Fair Lakes Parkway

Fairfax, VA 220333952

Telephone 7039345905
Fax 7039345778
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.4 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Fairfax, VA (618 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
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
12 11 $245.00 $115.60

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License VA 0101038325

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

18 Associated Practitioners
NPI 1033263900

Doctor of Optometry

Dr. Khoi Vu , MD

Obstetrics & Gynecology

NPI 1053471094

Doctor of Medicine (M.D.)

NPI 1073681490

Doctor of Optometry

Dr. Isaias Tesfazion , MD

Internal Medicine

NPI 1316013501

Doctor of Medicine (M.D.)

Rebecca Huffstutler , CRNP

Nurse Practitioner

NPI 1376605972

Certified Registered Nurse Practitioner

Amanda Brooks , CRNP

Nurse Practitioner

NPI 1407906258

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12255 FAIR LAKES PARKWAY, FAIRFAX, VA 220333952 (Tel: 7039345905)

📍
Updated Business Mailing Address July 08, 2007

Registered at KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI, ROCKVILLE, MD 208524908 (Tel: 3018166660)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH JACKSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #0101038325 in VA)

🟢
Initial NPI Registration & Enumeration December 05, 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: 1578621843
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Kaiser Permanente Mid Atlantic Permanente Medical Group, 2101 East Jefferson Street Ppqa Medicare Compliance Uni

Rockville, MD 208524908

Phone: 3018166660

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.