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Active NPI 1477536928 Individual Practitioner Male Practitioner

Dr. David B. Jackson , MD

Anesthesiology • Kenosha, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Jackson, MD is a certified Anesthesiology practicing in Kenosha, WI. With approximately 34 years of clinical experience since graduating from Wake Forest University School Of Medicine in 1992, Dr. Jackson delivers high-quality medical care to the local community at 6308 8TH AVE.

Dr. Jackson is affiliated with Great Lakes Anesthesia And Pain Specialists Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for total hip replacement, anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6308 8th Ave

Kenosha, WI 531435031

Telephone 2626562011
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Kenosha, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +10.6 yrs vs City Avg
City Avg: 23.4 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Kenosha, WI (1360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (34 Years) 34 Yrs
Kenosha Specialty Average (23.4 Years) 23.4 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
01214 Anesthesia for total hip replacement
14 14 $3681.86 $289.01

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License WI 42186-020

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33333500 (WI)
Commercial Insurance / Payer ID Rail Road Medicare
050087011

Hospital & Practice Group Affiliations

Great Lakes Anesthesia And Pain Specialists Sc

3111 W Rawson Ave, Franklin, WI 531329417

Phone: 4147612600

Practice Associates & Co-Workers

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

12 Associated Practitioners
Gina Gambucci , MS, LAT, ATC, OTC

Specialist/Technologist - Athletic Trainer

NPI 1003357823

Master of Science, Licensed Athletic Trainer, Certified Athletic Trainer, OTC

Dr. Rick Hutson , MD

Anesthesiology

NPI 1073596896

Doctor of Medicine (M.D.)

NPI 1124002282

Doctor of Medicine (M.D.)

Michael Church , PA-C

Physician Assistant

NPI 1164056727

Physician Assistant (Certified)

Theresa Aschenbrener , CRNA

Nurse Anesthetist, Certified Registered

NPI 1275518276

Certified Registered Nurse Anesthetist

NPI 1356753776

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2009

Registered at 6308 8TH AVE, KENOSHA, WI 531435031 (Tel: 2626562011)

📍
Updated Business Mailing Address February 15, 2009

Registered at 225 S EXECUTIVE DR, BROOKFIELD, WI 530054266 (Tel: 2627874026)

👤
Provider Name / Credentials Updated February 15, 2009

Recorded as DAVID JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2009

Anesthesiology (License #42186-020 in WI)

🟢
Initial NPI Registration & Enumeration November 29, 2005

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: 1477536928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2005
Last Update: February 15, 2009
Sole Proprietor: No

Mailing Address

225 S Executive Dr

Brookfield, WI 530054266

Phone: 2627874026

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.