Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982623625 Individual Practitioner Male Practitioner

Timothy L Jackson , PA-C

Physician Assistant • Virginia Beach, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Timothy Jackson, PA-C is a certified Physician Assistant practicing in Virginia Beach, VA. With approximately 24 years of clinical experience since completing medical education in 2002, Timothy Jackson delivers high-quality medical care to the local community at 5249 PROVIDENCE RD.

Timothy Jackson is affiliated with Forefront Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5249 Providence Rd

Virginia Beach, VA 234644201

Telephone 7574673900
Fax 7574677800
Associated Practice Facility / Clinic
🏢 Ken J Tompkins Md Pc Facility NPI 1174608277

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Virginia Beach, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +12.8 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
267 Specialists

Practicing in Virginia Beach, VA (4432 Statewide)

Telehealth Adoption Rate
23.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (24 Years) 24 Yrs
Virginia Beach Specialty Average (11.2 Years) 11.2 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
5,279 789 $84.00 $5.52
99213 Established patient office or other outpatient visit, typically 15 minutes
1,927 1,262 $263.00 $75.53
11102 Tangential biopsy of single skin lesion
1,061 822 $378.00 $79.43
17000 Destruction of skin growth
1,031 840 $303.63 $42.56
17004 Destruction of precancer skin growth, 15 or more growths
884 615 $734.31 $138.34
11103 Biopsy of related skin growth, each additional growth
501 321 $205.00 $41.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
192 138 $372.00 $106.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
158 141 $1002.00 $182.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
142 142 $321.00 $91.43
17110 Destruction of up to 14 skin growths
129 124 $419.00 $90.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
126 66 $71.76 $11.83
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
114 95 $1062.15 $151.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
97 74 $16.33 $0.98
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm
84 66 $1338.58 $230.37
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
78 46 $28.20 $6.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
76 68 $147.53 $46.67
69100 Biopsy of ear
70 64 $677.59 $55.74
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
46 41 $1409.49 $188.85
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
41 39 $1374.03 $187.22
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips
34 32 $1806.92 $250.26
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm
26 26 $1950.24 $366.29
36415 Insertion of needle into vein for collection of blood sample
26 19 $33.41 $8.65
11900 Injection into skin growth, 1-7 growths
23 22 $201.78 $33.22
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
22 22 $671.43 $117.79
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
20 20 $920.09 $173.01
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
19 18 $791.40 $93.97
17111 Destruction of skin growth, 15 or more growths
15 14 $468.64 $110.58
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
13 12 $1121.40 $145.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
12 11 $100.41 $19.33
11624 Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals
12 12 $1734.53 $263.39

Medical Specialties & State Licenses

CMS Verified: 2026-06-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110002037

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NC 0010-00505

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Forefront Dermatology Sc

2613 Hospital Rd, Goldsboro, NC 275349424

Phone: 9197360222

Forefront Dermatology Sc

3825 Conlon Way, Elizabeth City, NC 279097661

Phone: 2523315869

Forefront Dermatology Sc

1134 N Rd St, Elizabeth City, NC 279093365

Phone: 2523315968

Forefront Dermatology Sc

5589 N Croatan Hwy, Kitty Hawk, NC 279493996

Phone: 2527150610

Forefront Dermatology Sc

5249 Providence Rd, Virginia Beach, VA 234644201

Phone: 7574673900

Forefront Dermatology Sc

525 S Independence Blvd, Virginia Beach, VA 234521188

Phone: 7574673900

Forefront Dermatology Sc

5201 Hickory Park Dr, Glen Allen, VA 230592623

Phone: 8042626060

Secondary Practice Locations

3825 Conlon Way #100

Elizabeth City, NC 27909

Phone: 2523315869

5589 N Croatan Hwy

Kitty Hawk, NC 279493996

Phone: 2527150610

2206 Executive Dr Ste F

Hampton, VA 236662583

Phone: 7578251440

1157 First Colonial Rd Ste 300

Virginia Beach, VA 234542432

Phone: 7573338001

525 S Independence Blvd Ste 215

Virginia Beach, VA 234521188

Phone: 7574673900

Practice Associates & Co-Workers

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

4 Associated Practitioners
Anna Mulac , FNP-BC

Nurse Practitioner - Family

NPI 1245028356

Family Nurse Practitioner (Board Certified)

NPI 1356309736

Doctor of Medicine (M.D.)

NPI 1669466819

Doctor of Medicine (M.D.)

Kimberly Silver , PA-C

Physician Assistant

NPI 1811084346

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 31, 2025

Registered at 5249 PROVIDENCE RD, VIRGINIA BEACH, VA 234644201 (Tel: 7574673900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2025

Physician Assistant (License #0010-00505 in NC)

📍
Updated Practice Location February 02, 2021

Registered at 2206 EXECUTIVE DR STE F, HAMPTON, VA 236662583 (Tel: 7578251440)

📍
Updated Business Mailing Address February 02, 2021

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

NPI Profile Active October 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2008

Registered at 5249 PROVIDENCE RD, VIRGINIA BEACH, VA 234644201 (Tel: 7574673900)

📍
Updated Business Mailing Address October 16, 2008

Registered at 5249 PROVIDENCE RD, VIRGINIA BEACH, VA 234644201 (Tel: 7574673900)

👤
Provider Name / Credentials Updated October 16, 2008

Recorded as TIMOTHY JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2008

Physician Assistant (License #0110002037 in VA)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Timothy Jackson. Be the first to share your experience!

Sign in to leave a review for Timothy Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1982623625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: June 03, 2026
Sole Proprietor: No

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

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.