LEROY THOMAS JACKSON M.D. NPI 1477633980
Internal Medicine - Endocrinology, Diabetes & Metabolism in Chesapeake, VA

About LEROY THOMAS JACKSON M.D.

Leroy Jackson is an internist established in Chesapeake, Virginia and his medical specialization is Internal Medicine with a focus in endocrinology, diabetes & metabolism . The NPI number of Leroy Jackson is 1477633980 and was assigned on October 2006. The practitioner's primary taxonomy code is 207RE0101X with license number 4301406300 (MI). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1477633980
Provider Name LEROY THOMAS JACKSON M.D.
Location Address3205 CHURCHLAND BLVD CHESAPEAKE, VA 23321
Location Phone(757) 484-7822
Mailing Address3205 CHURCHLAND BLVD CHESAPEAKE, VA 23321
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date10-17-2006
Last Update Date02-15-2013

An internist like Leroy Thomas Jackson M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Leroy Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: care plan.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RE0101X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEndocrinology, Diabetes & Metabolism
License No.4301406300
License StateMI
Taxonomy DescriptionAn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

LEROY THOMAS JACKSON M.D.
3205 CHURCHLAND BLVD
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 484-7822
Fax: (757) 484-7362

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Mailing Address

LEROY THOMAS JACKSON M.D.
3205 CHURCHLAND BLVD
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 484-7822
Fax: (757) 484-7362


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 83.3
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 39.1
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 82.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 100% 126
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 555Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • 314Hemoglobin A1C level (HCPCS:83036)
  • 24Administration of influenza virus vaccine (HCPCS:G0008)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1477633980OTHER (01)ALNPI
102I466136MEDICARE PIN (08)AL
BLUE CROSSOTHER (01)AL51109153

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477633980
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471236916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 2 + 3 + 6 + 9 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1477633980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417961624DR. CHUN-MING CHEN M.D.
Individual
Clinic/Center (Ambulatory Surgical)3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 483-3030
1568563112DR. RENATO F RAMIREZ M.D.
Individual
Surgery3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 483-3030
1912008723JAMES C. LAROCQUE
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 484-7822
1023337714MS. SUZANNE LYNNE NICKEL FNP-C
Individual
Nurse Practitioner (Family)3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 484-7822
1659462398 JAMES C LAROCQUE M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 484-7822
1063681864MRS. EILEEN MARY GILMAN FNP-C
Individual
Nurse Practitioner (Family)3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 484-7822
1639599723TIDEWATER ENDOCRINOLOGY LLC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 484-7822
1013428341 TAMI SALOMON AGNP-C
Individual
Nurse Practitioner (Gerontology)3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 484-7822
1770519381TIDEWATER SURGICAL SPECIALISTS, PLLC
Organization
Surgery3205 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
(757) 483-3030

Frequently Asked Questions

What is Leroy Jackson M.D. NPI number?

The NPI number assigned to Leroy Jackson M.D. is 1477633980, registered as an "individual" on October 17, 2006

Where is Leroy Jackson M.D. located?

The provider is located at 3205 Churchland Blvd Chesapeake, Va 23321 and the phone number is (757) 484-7822

Which is Leroy Jackson M.D. specialty?

The provider's speciality is Internal Medicine with a focus in Endocrinology, Diabetes & Metabolism

What insurance does Leroy Jackson M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Leroy Jackson M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Leroy Jackson M.D.?

Medicare beneficiaries should expect a typical cost of $135 with an average copayment of $33.75 for new patient appointments. Established patients should expect a typical charge of $104.32 and an average copayment of 26.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Leroy Jackson M.D.?

The most common procedures or services performed by this practitioner are: Blood glucose (sugar) test performed by hand-held instrument, Hemoglobin A1C level and Administration of influenza virus vaccine.

How do I update my NPI information?

The NPI record of Leroy Jackson M.D. was last updated on October 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]