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KYLE JACKSON M.D., PH.D.
NPI 1164849352
Surgery in Philadelphia, PA

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 10104(215) 615-4949(215) 662-2244 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2022, Dec 13, 2021 (2 updates tracked since 2021).

About Kyle Jackson M.d., Ph.d. NPPES

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

KYLE JACKSON M.D., PH.D. (NPI 1164849352) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD485481) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Pittsburgh School Of Medicine (2014).

NPPES Registry Identity

NPI1164849352
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKYLE JACKSONCredential: M.D., PH.D.
Location Address3400 SPRUCE STREET, 4 SILVERSTEINPhiladelphia, PA 10104-4206
Mailing Address3400 Spruce Street, 4 SilversteinPhiladelphia, PA 10104-4206 · (215) 615-4949 · Fax (215) 662-2244
Phone(215) 615-4949
Fax(215) 662-2244
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
✔ NPI 1164849352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD485481
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3400 SPRUCE STREET, Philadelphia, PA 10104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Kyle Jackson M.d., Ph.d. 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 ID6103044631
PECOS Enrollment IDI20240802001911
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 3

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.

Transplantation of donor kidney 50360
Transplantation of a donor kidney involves replacing a non-functioning kidney with a healthy one from a donor. This procedure can significantly improve the quality of life for those with serious kidney disease. The new kidney can perform the essential task of filtering blood and removing waste.
38 services38 patients
Preparation of donor kidney for transplantation 50323
Preparation of a kidney for transplantation involves careful evaluation of the donor organ. It includes checking for diseases, ensuring compatibility, and preserving the organ in a cold solution until transplantation. This process ensures the best outcome for the recipient.
29 services29 patients
Preparation of donor kidney and veins for transplantation 50327
In kidney transplantation, a healthy kidney is taken from a donor. The kidney is carefully prepared, cleaned, and preserved. Veins are also prepared to ensure smooth blood flow to the new kidney. This process is done under strict medical protocols.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10104 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Kyle Jackson's NPI number?

The NPI number for Kyle Jackson is 1164849352. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Kyle Jackson located?

Kyle Jackson practices at 3400 Spruce Street 4 Silverstein, Philadelphia, PA 10104. The listed phone number is (215) 615-4949.

What is Kyle Jackson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kyle Jackson enrolled in Medicare?

Yes. Kyle 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.

What insurance does Kyle Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kyle Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kyle Jackson affiliated with any hospitals?

According to CMS data, Kyle Jackson is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Kyle Jackson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.