DR. WOODY H JACKSON MD
NPI 1073587598
Family Medicine in Wilmington, NC

Q: What is Woody Jackson's NPI number?

The NPI number for Woody Jackson is 1073587598. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Woody Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Woody Jackson was last updated on August 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 13, 2006PECOS Enrolled

100/100

CMS Quality Rating

2131 S 17TH ST, WILMINGTON, NC 28401(910) 815-5830(910) 815-5698 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Woody H Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WOODY H JACKSON MD (NPI 1073587598) is an individual family medicine provider in Wilmington, North Carolina, licensed in Pennsylvania (MD063122L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073587598

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WOODY H JACKSONCredential: MD

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing AddressPo Box 3515Chapel Hill, NC 27515-3515 · (919) 308-1562

Phone(910) 815-5830

Fax(910) 815-5698

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateAugust 19, 2014

✔ NPI 1073587598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD063122L

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD063122L (PA)

2131 S 17TH ST, Wilmington, NC 28401

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Other Identifiers 7

MedicaidQ0029KSC

Other232359401PA · Main Line Healthcare

Medicare UPING80708

Medicaid001688698PA

Medicare PINNC5779ANC

Medicare ID-Type Unspecified019518N2PPA

Medicaid5919880NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Woody H Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Improvement Activities

Cost

98.1

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

98%627 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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