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DR. SIDNEY BOGGESS JACKSON M.D.
NPI 1285603969
Family Medicine in Clarksburg, WV

Active since March 16, 2006PECOS Enrolled
1 MEDICAL CENTER DRIVE, LOUIS A JOHNSON VA HEALTH CARE SYSTEM, CLARKSBURG, WV 26301(304) 623-3461(304) 626-7034 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sidney Boggess Jackson M.d. NPPES

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

DR. SIDNEY BOGGESS JACKSON M.D. (NPI 1285603969) is an individual family medicine provider in Clarksburg, West Virginia, licensed in West Virginia (11573) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285603969
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIDNEY BOGGESS JACKSONCredential: M.D.
Location Address1 MEDICAL CENTER DRIVE, LOUIS A JOHNSON VA HEALTH CARE SYSTEMClarksburg, WV 26301
Mailing Address278 Ridgeway DrBridgeport, WV 26330-1152 · (304) 842-3411
Phone(304) 623-3461
Fax(304) 626-7034
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateApril 16, 2012
✔ NPI 1285603969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 11573
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.
1 MEDICAL CENTER DRIVE, Clarksburg, WV 26301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sidney Boggess Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26301 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
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 20

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

JILL L TAYLOR PHILLIPS MD
Family Medicine
1 MEDICAL CENTER DRIVE, SUITE 2
CLARKSBURG, WV 26301
Harrison County (304) 623-3461
DR. NAVEED UL HAQUE M.D.
Internal Medicine
1 MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Harrison County (304) 623-3461
CHAD JAKOB BOGGS PHARMD
Pharmacist
1 MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Harrison County (304) 623-3461
DR. SYDNEY ADRIENNA BONGIORNI PHARMD
Pharmacist
1 MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Harrison County (304) 623-3461
DR. KEVIN AUSTIN LEWIS DDS
Dentist (General Practice)
1 MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Harrison County (304) 623-7640
DR. KIERSTEN PARSONS PHARMD
Pharmacist
1 MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Harrison County (304) 623-3461
DR. SANTOSH SHENOY M.D.
Surgery
1 MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Harrison County (304) 623-3461
MRS. TAMMY JO JONES C.R.N.A
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Harrison County (304) 623-3461

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 Sidney Jackson's NPI number?

The NPI number for Sidney Jackson is 1285603969. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Sidney Jackson located?

Sidney Jackson practices at 1 Medical Center Drive Louis A Johnson VA Health Care System, Clarksburg, WV 26301. The listed phone number is (304) 623-3461.

What is Sidney Jackson's specialty?

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

Is Sidney Jackson enrolled in Medicare?

Yes. Sidney Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sidney Jackson was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.