J RYAN JACKSON DO
NPI 1346633161
Dermatology - MOHS-Micrographic Surgery in Mesa, AZ

Q: What is J Jackson's NPI number?

The NPI number for J Jackson is 1346633161. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Q: What is J Jackson's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for J Jackson was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 18, 2015PECOS Enrolled

77.63/100

CMS Quality Rating

8405 E BASELINE RD STE 104, MESA, AZ 85209(480) 674-3295 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2024, Apr 12, 2024, Aug 5, 2020 and 1 more (4 updates tracked since 2019).

On this page

About J Ryan Jackson Do NPPES

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

J RYAN JACKSON DO (NPI 1346633161) is an individual mohs-micrographic surgery provider in Mesa, Arizona, licensed in Arizona (007930) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2015).

NPPES Registry Identity

NPI1346633161

Entity TypeIndividualMale

Primary Taxonomy207ND0101X

Provider Legal NameJ RYAN JACKSONCredential: DO

Location Address8405 E BASELINE RD STE 104Mesa, AZ 85209-4376

Mailing Address8405 E Baseline Rd Ste 104Mesa, AZ 85209-4376 · (480) 674-3295 · Fax (725) 239-7974

Phone(480) 674-3295

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2015

Enumeration DateMarch 18, 2015

Last NPPES UpdateSeptember 5, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1346633161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in AZ · 007930

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License 007930 (AZ)

8405 E BASELINE RD STE 104, Mesa, AZ 85209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Ryan Jackson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961731799

PECOS Enrollment IDI20190904001919

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

Medicare enrollment records show J Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dl Professional Services LLC

Same address

Dermatology

8405 E BASELINE RD STE 104
Mesa, AZ 85209

Reassigned Medicare billing, Arizona enrollment
4 clinicians in this Medicare group

NPI 1205422789 (480) 674-3295

Az Dermatology LLC

4.8 mi

Dermatology

4540 E BASELINE RD STE 109
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
24 clinicians in this Medicare group

NPI 1508035411 (480) 982-3337

Fox Dermatology And Aesthetics LLC

7.1 mi

Dermatology

3514 N POWER RD STE 123
Mesa, AZ 85215

Reassigned Medicare billing, Arizona enrollment
2 clinicians in this Medicare group

NPI 1447051461 (480) 319-9500

La Paz Dermatology PLLC

9.0 mi

MOHS-Micrographic Surgery

20185 E OCOTILLO RD STE 104
Queen Creek, AZ 85142

Reassigned Medicare billing, Arizona enrollment
2 clinicians in this Medicare group

NPI 1013734094 (602) 799-0976

La Laser Center, PC, A Professional Medical Corporation

346 mi

Multi-Specialty

161 AVENIDA VAQUERO
San Clemente, CA 92672

Reassigned Medicare billing, Arizona enrollment
23 clinicians in this Medicare group

NPI 1306982855 (949) 652-3095

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 19

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.

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.

800 services163 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.

365 services327 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.

272 services236 patients

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.

237 services221 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

158 services147 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

137 services117 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

107 services98 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

61 services39 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

55 services44 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

49 services44 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.

43 services40 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

34 services28 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm 12042

This is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.

31 services28 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051

This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.

27 services27 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

20 services20 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.

20 services20 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.

14 services14 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

13 services13 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85209 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

77.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

47.36

Promoting Interoperability

Improvement Activities

Cost

78.92

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.

DL PROFESSIONAL SERVICES LLC

Dermatology

8405 E BASELINE RD STE 104
MESA, AZ 85209

Maricopa County (480) 674-3295

AMANDA KAITLIN MURPHY PA-C

Physician Assistant

8405 E BASELINE RD STE 104
MESA, AZ 85209

Maricopa County (480) 674-3295

MS. APRIL NICHOLE WYMA APRN

Nurse Practitioner (Family)

8405 E BASELINE RD STE 104
MESA, AZ 85209

Maricopa County (480) 674-3295

MRS. NICHOLE WRAE HAZUKA PA-C

Physician Assistant

8405 E BASELINE RD STE 104
MESA, AZ 85209

Maricopa County (480) 674-3295

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 J Jackson's NPI number?

The NPI number for J Jackson is 1346633161. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is J Jackson located?

J Jackson practices at 8405 E Baseline Rd Ste 104, Mesa, AZ 85209. The listed phone number is (480) 674-3295.

What is J Jackson's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is J Jackson enrolled in Medicare?

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

Which organizations bill Medicare for J Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J Jackson reassigns Medicare benefits to 5 organizations: Dl Professional Services LLC (Mesa, AZ), Az Dermatology LLC (Mesa, AZ), Fox Dermatology And Aesthetics LLC (Mesa, AZ), La Paz Dermatology PLLC (Queen Creek, AZ) and La Laser Center, PC, A Professional Medical Corporation (San Clemente, CA). 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 J Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does J Jackson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 2 other insurers list J 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.

When was this NPI record last updated?

The NPPES record for J Jackson was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.