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

NPI Status: Active since April 18, 2017

Contact Information

34 N KANAWHA ST
BUCKHANNON, WV
ZIP 26201
Phone: (304) 473-2250
Fax: (304) 472-1208

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  • Individual
  • Male
  • Family Medicine
  • Addiction Medicine
  • Accepts Insurance
  • Medicare Quality Reporting

About BENJAMIN JACKSON

This page provides the complete NPI Profile along with additional information for Benjamin Jackson, a provider established in Buckhannon, West Virginia with a medical specialization in Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1629502562 assigned on April 2017. The practitioner's primary taxonomy code is 207QA0401X with license number 30171 (WV). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1629502562
Provider Name
DR. BENJAMIN POPP JACKSON M.D.
Gender
Male
Entity Type
Individual
Location Address
34 N KANAWHA ST BUCKHANNON, WV 26201
Location Phone
(304) 473-2250
Location Fax
(304) 472-1208
Mailing Address
34 N KANAWHA ST BUCKHANNON, WV 26201
Mailing Phone
(304) 473-2250
Mailing Fax
(304) 472-1208
Is Sole Proprietor?
No
Enumeration Date
04-18-2017
Last Update Date
09-07-2022
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Location Map

Secondary Locations

  • 1 Medical Center Dr Rm 204
    Morgantown, WV 26506
    (304) 598-6900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
30171
License State
WV
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 9200 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Premier Silver 0 - PPO
  • my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 2000 - PPO
  • my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Silver 6000 - PPO
  • Bronze Classic 4700 - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Elite Saver Plus - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple PCP Saver - HMO
  • Silver Simple Women's Health with Menopause Benefits - HMO
  • Bronze Classic PCP Saver | Cleveland Clinic - HMO
  • Bronze Classic Standard | Cleveland Clinic - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
  • Bronze Simple Chronic Care CKM | Cleveland Clinic - HMO
  • Bronze Simple Diabetes | Cleveland Clinic - HMO
  • Bronze Simple HSA | Cleveland Clinic - HMO
  • Gold Classic Standard | Cleveland Clinic - HMO
  • Gold Elite | Cleveland Clinic - HMO
  • Gold Elite Saver Plus | Cleveland Clinic - HMO
  • Silver Classic Standard | Cleveland Clinic - HMO
  • Silver Elite Saver Plus | Cleveland Clinic - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
  • Silver Simple Chronic Care CKM | Cleveland Clinic - HMO
  • Silver Simple Diabetes | Cleveland Clinic - HMO
  • Silver Simple PCP Saver | Cleveland Clinic - HMO
  • Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic - HMO

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

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 0% 23
Appropriate Treatment for Upper Respiratory Infection (URI) 100% 126
Cervical Cancer Screening 41% 122
Closing the Referral Loop: Receipt of Specialist Report 10% 31
Controlling High Blood Pressure 76% 51
Documentation of Current Medications in the Medical Record 79% 2074
HIV Screening 88% 315
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 97% 284
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 88% 122
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 32% 738
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95% 305
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98% 255
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97% 305
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 59% 22

Reviews for DR. BENJAMIN POPP JACKSON M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629502562, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 1 + 0 + 0 + 4 + 5 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1629502562.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Federally Qualified Health Center (FQHC))
34 N KANAWHA ST
BUCKHANNON, WV 26201
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Physician Assistant
34 N KANAWHA ST
BUCKHANNON, WV 26201
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Anesthesiology (Addiction Medicine)
34 N KANAWHA ST
BUCKHANNON, WV 26201
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Counselor (Addiction (Substance Use Disorder))
34 N KANAWHA ST
BUCKHANNON, WV 26201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629502562, enumerated as an "individual" on April 18, 2017.

The provider is located at 34 N KANAWHA ST BUCKHANNON, WV 26201 and the phone number is (304) 473-2250.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to verify.