DR. KIMBERLY L JACKSON M.D.
NPI 1518129097
Pediatrics in Buffalo, NY

Q: What is Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1518129097. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 26, 2008PECOS EnrolledAccepts Medicare Assignment

818 ELLICOTT ST, BUFFALO, NY 14203(716) 323-2000(716) 323-0292 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Aug 19, 2022 (2 updates tracked since 2022).

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About Dr. Kimberly L Jackson M.d. NPPES

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

DR. KIMBERLY L JACKSON M.D. (NPI 1518129097) is an individual pediatrics provider in Buffalo, New York, licensed in New York (248351) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Williamsville, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2005).

NPPES Registry Identity

NPI1518129097

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KIMBERLY L JACKSONCredential: M.D.

Location Address818 ELLICOTT STBuffalo, NY 14203-1021

Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0034 · Fax (716) 323-0292

Phone(716) 323-2000

Fax(716) 323-0292

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2005

Enumeration DateJune 26, 2008

Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration

NPPES CertifiedMarch 2, 2023

✔ NPI 1518129097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 248351

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

818 ELLICOTT ST, Buffalo, NY 14203

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Secondary Practice Location 1

Location 11540 Maple RdWilliamsville, NY 14221-3647 · Phone (716) 568-3600 · Fax (716) 323-0292

Other Identifiers 1

Medicaid03040719NY

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. Kimberly L Jackson M.d. 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 ID8628138195

PECOS Enrollment IDI20081114000145

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 14203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

KUNAL CHADHA MD

Pediatrics