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JOHNNA MICHELLE JACKSON D.O.
NPI 1255537999
Surgery in South Charleston, WV

Active since June 21, 2007PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
500 POPLAR ST, SUITE 304, SOUTH CHARLESTON, WV 25309(304) 767-7770(304) 767-7779 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 23, 2021, Jan 6, 2021, Nov 16, 2016 (3 updates tracked since 2016).

About Johnna Michelle Jackson D.o. NPPES

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

JOHNNA MICHELLE JACKSON D.O. (NPI 1255537999) is an individual surgery provider in South Charleston, West Virginia, licensed in West Virginia (1998) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and maintains a secondary practice location in South Charleston.

NPPES Registry Identity

NPI1255537999
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameJOHNNA MICHELLE JACKSONCredential: D.O.
Location Address500 POPLAR ST, SUITE 304South Charleston, WV 25309-1474
Mailing Address4605 Maccorkle Ave Sw, Ths Physician Partners, Inc-admin OfficeSouth Charleston, WV 25309-1311 · (304) 414-4800
Phone(304) 767-7770
Fax(304) 767-7779
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2002
Enumeration DateJune 21, 2007
Last NPPES UpdateDecember 23, 20213 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
✔ NPI 1255537999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WV · 1998
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.
500 POPLAR ST, South Charleston, WV 25309
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Secondary Practice Location 1

Location 14605 MacCorkle Ave SW OfcSouth Charleston, WV 25309-1311 · Phone (304) 414-4800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Johnna Michelle 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 ID7517032840
PECOS Enrollment IDI20080820000453
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services18 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.
34 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
26%149 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
2%188 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
15%204 patients1/55-star benchmark: 85%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
97%141 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
9%141 patients1/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier15 claims89 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier16 claims96 services$24.90 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 12

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

COMPREHENSIVE SURGICAL ASSOCIATES PLLC
Surgery
500 POPLAR ST, SUITE 304
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3600
MS. LISA MARIE MCCLURE FNP-C
Nurse Practitioner (Family)
500 POPLAR ST, SUITE 202
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-2121
MOUNTAIN PRIDE ORTHOPAEDICS
Orthopaedic Surgery
500 POPLAR ST, SUITE 303
CHARLESTON, WV 25309
Kanawha County (304) 766-7374
REBECCA ANN ASHWORTH MSN, APRN, FNP-C
Nurse Practitioner
500 POPLAR ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4350
MOUNTAINEER FAMILY MEDICINE, INC.
Family Medicine
500 POPLAR ST, SUITE 204
CHARLESTON, WV 25309
Kanawha County (304) 767-7840
RICHARD W CRADDOCK PA-C
Physician Assistant
500 POPLAR ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 342-3891
GRETA VIRGINIA GUYER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 POPLAR ST, SUITE 202
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-2121
MATTHEW LORING PARSONS PA-C
Physician Assistant (Medical)
500 POPLAR ST, SUITE 303
CHARLESTON, WV 25309
Kanawha County (304) 766-7374

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 Johnna Jackson's NPI number?

The NPI number for Johnna Jackson is 1255537999. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Johnna Jackson located?

Johnna Jackson practices at 500 Poplar St Suite 304, South Charleston, WV 25309. The listed phone number is (304) 767-7770.

What is Johnna Jackson's specialty?

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

Is Johnna Jackson enrolled in Medicare?

Yes. Johnna 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 Johnna Jackson accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Johnna 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 Johnna Jackson affiliated with any hospitals?

According to CMS data, Johnna Jackson is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Johnna Jackson was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.