DR. MATTHEW WESLEY JACKSON DO
NPI 1497014351
Internal Medicine in Bronx, NY

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
2015 GRAND CONCOURSE, BRONX, NY 10453(718) 618-0401 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2021, Sep 13, 2019, Mar 29, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Matthew Wesley Jackson Do NPPES

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

DR. MATTHEW WESLEY JACKSON DO (NPI 1497014351) is an individual internal medicine provider in Bronx, New York, licensed in New York (275775) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Bronxcare Hospital Center, and maintains a secondary practice location in Horseheads.

NPPES Registry Identity

NPI1497014351
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATTHEW WESLEY JACKSONCredential: DO
Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303
Mailing Address1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507 · (718) 618-0401 · Fax (347) 479-1303
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateMay 14, 2012
Last NPPES UpdateJune 1, 20214 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
NPI 1497014351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 275775
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2015 GRAND CONCOURSE, Bronx, NY 10453

Secondary Practice Location 1

Location 11504 Twin Oaks DrHorseheads, NY 14845-3307 · Phone (239) 340-8064

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. Matthew Wesley Jackson Do 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 ID7012201718
PECOS Enrollment IDI20160803001110
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 11

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
710 services171 patients
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.
554 services149 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
213 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
74 services69 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
60 services56 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.
55 services51 patients

Hospital Affiliations CMS Care Compare 2

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

Bronxcare Hospital Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330009
Location1276 Fulton AvenueBronx, NY 10456 · Bronx County
Emergency services Birthing friendly

St Barnabas Hospital

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330399
Location4422 Third AvenueBronx, NY 10457 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Internal Medicine (Infectious Disease)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Family Medicine
2015 GRAND CONCOURSE
BRONX, NY 10453
Nurse Practitioner (Women's Health)
2015 GRAND CONCOURSE
BRONX, NY 10453

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 Matthew Jackson's NPI number?

The NPI number for Matthew Jackson is 1497014351. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Matthew Jackson located?

Matthew Jackson practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 618-0401.

What is Matthew Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Jackson enrolled in Medicare?

Yes. Matthew 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.

Is Matthew Jackson affiliated with any hospitals?

According to CMS data, Matthew Jackson is affiliated with Bronxcare Hospital Center and St Barnabas Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Jackson was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.