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DR. WILLIAM DOTIE JACKSON MD
NPI 1194858688
Surgery - Plastic and Reconstructive Surgery in Madison, MS

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
88.16/100
CMS Quality Rating
160 FOUNTAINS BLVD STE B, MADISON, MS 39110(601) 981-2525(601) 981-3152 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William Dotie Jackson Md NPPES

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

DR. WILLIAM DOTIE JACKSON MD (NPI 1194858688) is an individual plastic and reconstructive surgery provider in Madison, Mississippi, licensed in Mississippi (19747) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1194858688
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. WILLIAM DOTIE JACKSONCredential: MD
Location Address160 FOUNTAINS BLVD STE BMadison, MS 39110-6343
Mailing Address160 Fountains Blvd Ste BMadison, MS 39110-6343 · (601) 981-2525 · Fax (601) 981-3152
Phone(601) 981-2525
Fax(601) 981-3152
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 13, 2007
Last NPPES UpdateNovember 19, 2018
✔ NPI 1194858688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MS · 19747
Definition
A surgeon who specializes in plastic and reconstructive surgery.
160 FOUNTAINS BLVD STE B, Madison, MS 39110
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Dr. William Dotie 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 ID8123102290
PECOS Enrollment IDI20080227000802
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 4

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 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.
39 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

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.

88.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost60.54

Other Providers at the Same Location NPPES 4

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

FREDERICK CORTNEY SAILES M.D.
Surgery (Plastic and Reconstructive Surgery)
160 FOUNTAINS BLVD STE B
MADISON, MS 39110
Madison County (601) 981-2525
DR. ERICA HUTCHESON BASS M.D.
Surgery (Plastic and Reconstructive Surgery)
160 FOUNTAINS BLVD STE B
MADISON, MS 39110
Madison County (601) 981-2525
DR. EMILE ANTHONY PICARELLA JR. MD
Surgery (Plastic and Reconstructive Surgery)
160 FOUNTAINS BLVD STE B
MADISON, MS 39110
Madison County (601) 981-2525
SOMPRASONG SONGCHAROEN M.D.
Surgery (Plastic and Reconstructive Surgery)
160 FOUNTAINS BLVD STE B
MADISON, MS 39110
Madison County (601) 981-2525

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 William Jackson's NPI number?

The NPI number for William Jackson is 1194858688. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is William Jackson located?

William Jackson practices at 160 Fountains Blvd Ste B, Madison, MS 39110. The listed phone number is (601) 981-2525.

What is William Jackson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is William Jackson enrolled in Medicare?

Yes. William 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 William Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list William 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 William Jackson affiliated with any hospitals?

According to CMS data, William Jackson is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for William Jackson was last updated on November 19, 2018. 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.