JON RYAN JACKSON M.D.
NPI 1740254978
Plastic Surgery in Naples, FL

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4500 EXECUTIVE DR STE 300, NAPLES, FL 34119(239) 598-9009(239) 598-5009 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jon Ryan Jackson M.d. NPPES

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

JON RYAN JACKSON M.D. (NPI 1740254978) is an individual plastic surgery provider in Naples, Florida, licensed in Florida (ME91375) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1991).

NPPES Registry Identity

NPI1740254978
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameJON RYAN JACKSONCredential: M.D.
Location Address4500 EXECUTIVE DR STE 300Naples, FL 34119-8908
Mailing Address4500 Executive Dr Ste 300Naples, FL 34119-8908 · (239) 598-9009 · Fax (239) 598-5009
Fax(239) 598-5009
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1991
Enumeration DateFebruary 14, 2006
Last NPPES UpdateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
NPI 1740254978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in FL · ME91375
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4500 EXECUTIVE DR STE 300, Naples, FL 34119

Accepted 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

Jon Ryan Jackson M.d. 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 ID4486687035
PECOS Enrollment IDI20050915000147
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.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
373 services205 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
246 services200 patients
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602
This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
201 services138 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
162 services123 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
84 services84 patients
Complicated repair of wound of trunk, 2.6-7.5 cm 13101
This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.
64 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34119 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Dermatology
4500 EXECUTIVE DR STE 300
NAPLES, FL 34119
Dermatology
4500 EXECUTIVE DR STE 300
NAPLES, FL 34119

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 Jon Jackson's NPI number?

The NPI number for Jon Jackson is 1740254978. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Jon Jackson located?

Jon Jackson practices at 4500 Executive Dr Ste 300, Naples, FL 34119. The listed phone number is (239) 598-9009.

What is Jon Jackson's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jon Jackson enrolled in Medicare?

Yes. Jon 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 Jon Jackson accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Jon 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.

When was this NPI record last updated?

The NPPES record for Jon Jackson was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.