MARK W JACKSON MD
NPI 1699745273
Internal Medicine - Gastroenterology in Knoxville, TN

Active since January 25, 2006PECOS Enrolled
1819 W CLINCH AVE, SUITE 212, KNOXVILLE, TN 37916(865) 523-6418(865) 523-6587 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark W Jackson Md NPPES

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

MARK W JACKSON MD (NPI 1699745273) is an individual gastroenterology provider in Knoxville, Tennessee, licensed in Tennessee (MD28432) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699745273
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMARK W JACKSONCredential: MD
Location Address1819 W CLINCH AVE, SUITE 212Knoxville, TN 37916-2434
Mailing Address1819 W Clinch Ave, Suite 212Knoxville, TN 37916-2434 · (865) 523-6418 · Fax (865) 523-6587
Fax(865) 523-6587
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateFebruary 3, 2012
NPI 1699745273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TN · MD28432
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1819 W CLINCH AVE, Knoxville, TN 37916

Other Identifiers 2

Medicare UPIND40230TN
Medicare ID-Type Unspecified3805422TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark W 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 37916 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims280 services$4.93 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims416 services$2.50 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims330 services$8.13 avg. paid by Medicare
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each A4413
DME-Orthotic Devices · category DF010N
1 supplier11 claims330 services$5.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Interventional Cardiology)
1819 W CLINCH AVE, SUITE 108
KNOXVILLE, TN 37916
Internal Medicine
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916
Internal Medicine (Cardiovascular Disease)
1819 W CLINCH AVE, SUITE 108
KNOXVILLE, TN 37916
Internal Medicine
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916
Neurological Surgery
1819 W CLINCH AVE, SUITE 214
KNOXVILLE, TN 37916
Internal Medicine (Gastroenterology)
1819 W CLINCH AVE, SUITE 212
KNOXVILLE, TN 37916
Family Medicine
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916
Family Medicine
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916

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 Mark Jackson's NPI number?

The NPI number for Mark Jackson is 1699745273. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Mark Jackson located?

Mark Jackson practices at 1819 W Clinch Ave Suite 212, Knoxville, TN 37916. The listed phone number is (865) 523-6418.

What is Mark Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mark Jackson enrolled in Medicare?

Yes. Mark Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Jackson was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.