MR. DEWEY THOMAS JACKSON MD - NPI 1659330108 - Internal Medicine in Fairport, NY

Q: What is Dewey Jackson's NPI number?

The NPI number for Dewey Jackson is 1659330108. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Q: What is Dewey Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dewey Jackson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Dewey Thomas Jackson Md NPPES

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

MR. DEWEY THOMAS JACKSON MD (NPI 1659330108) is an individual internal medicine provider in Fairport, New York, licensed in New York (136492) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659330108

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. DEWEY THOMAS JACKSONCredential: MD

Location Address2828 BAIRD RDFairport, NY 14450-1247

Mailing Address2828 Baird RdFairport, NY 14450-1247 · (585) 248-9670 · Fax (585) 248-0384

Phone(585) 248-9670

Fax(585) 248-0384

Sole ProprietorNo

Enumeration DateMarch 22, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1659330108 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 · 136492

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.

2828 BAIRD RD, Fairport, NY 14450

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Other Identifiers 2

Other100843BJNY · Preferred Care

Other10162610NY · Blue Choice

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dewey Thomas Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14450 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUDIPA BARR MD

Pediatrics