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DAINTY J JACKSON D. O.
NPI 1194765834
Family Medicine in Waldorf, MD

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
11315 PEMBROOKE SQ STE 112, WALDORF, MD 20603(301) 885-3350(240) 222-3899 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dainty J Jackson D. O. NPPES

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

DAINTY J JACKSON D. O. (NPI 1194765834) is an individual family medicine provider in Waldorf, Maryland, licensed in Maryland (H0058218) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waldorf, and is a graduate of West Virginia School Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1194765834
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDAINTY J JACKSONCredential: D. O.
Location Address11315 PEMBROOKE SQ STE 112Waldorf, MD 20603-4806
Mailing AddressPo Box 7876Upper Marlboro, MD 20792-7876 · (301) 254-8177 · Fax (240) 222-3899
Phone(301) 885-3350
Fax(240) 222-3899
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1999
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 8, 2019
✔ NPI 1194765834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · H0058218
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.
11315 PEMBROOKE SQ STE 112, Waldorf, MD 20603
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Secondary Practice Location 1

Location 110 Saint Patricks Dr, Suite 502Waldorf, MD 20603-4527 · Phone (301) 885-3350 · Fax (301) 885-3352

Other Identifiers 1

Medicaid401725102MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dainty J Jackson D. O. 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 ID3375600257
PECOS Enrollment IDI20090319000526
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dainty Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jackson Family Medicine, LLC
0.2 mi
Primary Care
10 SAINT PATRICKS DR, #502
Waldorf, MD 20603
  • Reassigned Medicare billing, Maryland enrollment
NPI 1780825224 (301) 885-3350
Medpro Hospitalists LLP
22 mi
Internal Medicine
3001 HOSPITAL DR
Cheverly, MD 20785
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
NPI 1346279262 (301) 618-6011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
295 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
39 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services34 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims24 services$6.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MENDELIS MENTAL HEALTH CENTER LLC
Psychiatry & Neurology (Psychiatry)
11315 PEMBROOKE SQ STE 112
WALDORF, MD 20603
Charles County (301) 638-5001

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 Dainty Jackson's NPI number?

The NPI number for Dainty Jackson is 1194765834. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Dainty Jackson located?

Dainty Jackson practices at 11315 Pembrooke Sq Ste 112, Waldorf, MD 20603. The listed phone number is (301) 885-3350.

What is Dainty Jackson's specialty?

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

Is Dainty Jackson enrolled in Medicare?

Yes. Dainty 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.

Which organizations bill Medicare for Dainty Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dainty Jackson reassigns Medicare benefits to 2 organizations: Jackson Family Medicine, LLC (Waldorf, MD) and Medpro Hospitalists LLP (Cheverly, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dainty Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dainty Jackson was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.