DORSHEY JACKSON MD
NPI 1154909752
Family Medicine in Syracuse, NY

Q: What is Dorshey Jackson's NPI number?

The NPI number for Dorshey Jackson is 1154909752. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Dorshey 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 Dorshey Jackson was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

321 GIFFORD ST, SYRACUSE, NY 13204(315) 703-2600 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Apr 1, 2021 (2 updates tracked since 2021).

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About Dorshey Jackson Md NPPES

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

DORSHEY JACKSON MD (NPI 1154909752) is an individual family medicine provider in Syracuse, New York, licensed in New York (332383) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154909752

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDORSHEY JACKSONCredential: MD

Location Address321 GIFFORD STSyracuse, NY 13204-3201

Mailing Address321 Gifford StSyracuse, NY 13204-3201 · (315) 703-2600

Phone(315) 703-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1154909752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 332383

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.

321 GIFFORD ST, Syracuse, NY 13204

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dorshey Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163963315

PECOS Enrollment IDI20240916002395

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330140

Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13204 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE DEMETRA RAMOS FNP-C

Nurse Practitioner (Family)

321 GIFFORD ST
SYRACUSE, NY 13204

Onondaga County (315) 703-2600

MS. LINDA CAROLINE BARTLETT F.N.P

Nurse Practitioner (Family)

321 GIFFORD ST, FAMILY MEDICINE
SYRACUSE, NY 13204

Onondaga County (315) 703-2600

DR. SARAH BURGESS MARSH M.D.

Pediatrics

321 GIFFORD ST
SYRACUSE, NY 13204

Onondaga County (315) 703-2600

EMILY WRIGHT NP

Nurse Practitioner (Adult Health)

321 GIFFORD ST
SYRACUSE, NY 13204

Onondaga County (315) 703-2600

LISAANN GAFFNEY MD

Pediatrics

321 GIFFORD ST
SYRACUSE, NY 13204

Onondaga County (315) 703-2600

MRS. LISA ANNE YARAH RDN

Dietitian, Registered

321 GIFFORD ST
SYRACUSE, NY 13204

Onondaga County (315) 703-2600

KAYLA D WEAVER MFT

Marriage & Family Therapist

321 GIFFORD ST
SYRACUSE, NY 13204

Onondaga County (315) 703-2600

MRS. HELEN MARY ONEILL FNP

Nurse Practitioner (Family)

321 GIFFORD ST
SYRACUSE, NY 13204

Onondaga County (315) 703-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorshey Jackson's NPI number?

The NPI number for Dorshey Jackson is 1154909752. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Dorshey Jackson located?

Dorshey Jackson practices at 321 Gifford St, Syracuse, NY 13204. The listed phone number is (315) 703-2600.

What is Dorshey Jackson's specialty?

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

Is Dorshey Jackson enrolled in Medicare?

Yes. Dorshey Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dorshey Jackson affiliated with any hospitals?

According to CMS data, Dorshey Jackson is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Dorshey Jackson was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.