DR. BENJAMIN POPP JACKSON M.D.
NPI 1629502562
Family Medicine - Addiction Medicine in Buckhannon, WV

Q: What is Benjamin Jackson's NPI number?

The NPI number for Benjamin Jackson is 1629502562. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Q: What is Benjamin Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Jackson was last updated on September 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 18, 2017

34 N KANAWHA ST, BUCKHANNON, WV 26201(304) 473-2250(304) 472-1208 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2022, Sep 9, 2021, May 6, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Benjamin Popp Jackson M.d. NPPES

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

DR. BENJAMIN POPP JACKSON M.D. (NPI 1629502562) is an individual addiction medicine provider in Buckhannon, West Virginia, licensed in West Virginia (30171) and active in the NPI registry since April 2017. He maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1629502562

Entity TypeIndividualMale

Primary Taxonomy207QA0401X

Provider Legal NameDR. BENJAMIN POPP JACKSONCredential: M.D.

Location Address34 N KANAWHA STBuckhannon, WV 26201-2714

Mailing Address34 N Kanawha StBuckhannon, WV 26201-2714 · (304) 473-2250 · Fax (304) 472-1208

Phone(304) 473-2250

Fax(304) 472-1208

Sole ProprietorNo

Enumeration DateApril 18, 2017

Last NPPES UpdateSeptember 7, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1629502562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in WV · 30171

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

34 N KANAWHA ST, Buckhannon, WV 26201

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Center Dr Rm 204Morgantown, WV 26506-1200 · Phone (304) 598-6900 · Fax (304) 285-7373

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Oscar Health Insurance and more.Insurance ›

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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%23 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

100%126 patients5/55-star benchmark: 100%

Cervical Cancer Screening

41%122 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

10%31 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

76%51 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

79%2,074 patients3/55-star benchmark: 100%

HIV Screening

88%315 patients5/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

97%284 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

88%122 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%738 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 305 patients

Patients screened: 97% · 305 patients

98%255 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

59%22 patients2/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

COMMUNITY CARE OF WEST VIRGINIA, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))