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

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

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: July 19, 2026.

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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, maintains a secondary practice location in Jackson, 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

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Secondary Practice Location 1

Location 1971 Lakeland Dr, Suite 315Jackson, MS 39216-4607 · Phone (601) 981-2525 · Fax (601) 981-3152

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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 10-19 minutes 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.

38 services31 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

30 services24 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

24 services13 patients

New patient office or other outpatient visit, 30-44 minutes 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.

23 services23 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.

15 services13 patients

Melanoma (skin cancer) excision NAN03

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

0 services34 patients

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

Quality

100

Improvement Activities

Cost

60.54

Other Providers at the Same Location NPPES 6

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

SOMPRASONG SONGCHAROEN M.D.

Surgery (Plastic and Reconstructive Surgery)