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CORY DANIEL JACKSON
NPI 1609365170
Internal Medicine - Interventional Cardiology in Wilmington, NC

Active since May 09, 2018PECOS EnrolledAccepts Medicare Assignment
73.24/100
CMS Quality Rating
1415 PHYSICIANS DR, WILMINGTON, NC 28401(518) 859-5714 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jun 27, 2021, May 9, 2018 (3 updates tracked since 2018).

About Cory Daniel Jackson NPPES

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

CORY DANIEL JACKSON (NPI 1609365170) is an individual interventional cardiology provider in Wilmington, North Carolina, licensed in North Carolina (321188) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of University Of Florida College Of Medicine (2018).

NPPES Registry Identity

NPI1609365170
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameCORY DANIEL JACKSON
Location Address1415 PHYSICIANS DRWilmington, NC 28401-7338
Mailing Address1415 Physicians DrWilmington, NC 28401-7338 · (518) 859-5714
Phone(518) 859-5714
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2018
Enumeration DateMay 9, 2018
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1609365170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in NC · 321188
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1415 PHYSICIANS DR, Wilmington, NC 28401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Cory Daniel Jackson 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 ID4587910526
PECOS Enrollment IDI20241212003059
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.

Hospital Affiliations CMS Care Compare 4

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

73.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.04
Cost59.51

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.

MR. GRAYSON BRENT MAYBERRY
Physician Assistant
1415 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 662-9500
TAYLOR ELIZABETH ZAGER PA-C
Physician Assistant
1415 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 662-9500
MARY CAMERON FNP-C
Nurse Practitioner
1415 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 662-9500
LINDA PALMON CALHOUN MD
Internal Medicine (Cardiovascular Disease)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 662-9500
ANTHONY AUSTIN BACTOL HORN
Nurse Practitioner
1415 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 662-9500
CAROLINA HEALTHCARE ASSOCIATES INC
Internal Medicine (Cardiovascular Disease)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 815-3420
ALEXIS NANNI RAMOS PHARMD
Pharmacist (Cardiology)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 662-9500
TAYLOR CARLYLE BAZEMORE
Internal Medicine (Clinical Cardiac Electrophysiology)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 662-9500

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 Cory Jackson's NPI number?

The NPI number for Cory Jackson is 1609365170. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Cory Jackson located?

Cory Jackson practices at 1415 Physicians Dr, Wilmington, NC 28401. The listed phone number is (518) 859-5714.

What is Cory Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Cory Jackson enrolled in Medicare?

Yes. Cory 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.

What insurance does Cory Jackson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Cory 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.

Is Cory Jackson affiliated with any hospitals?

According to CMS data, Cory Jackson is affiliated with Onslow Memorial Hospital, Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cory Jackson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.