DR. DAVID DEWITT JACKSON MD
NPI 1942206453
Surgery in Mt Airy, NC

Active since June 21, 2005PECOS Enrolled
93.24/100
CMS Quality Rating
708 S SOUTH ST, STE 100, MT AIRY, NC 27030(336) 789-9176(336) 786-3778 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Dewitt Jackson Md NPPES

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

DR. DAVID DEWITT JACKSON MD (NPI 1942206453) is an individual surgery provider in Mt Airy, North Carolina, licensed in North Carolina (18662) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942206453
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID DEWITT JACKSONCredential: MD
Location Address708 S SOUTH ST, STE 100Mt Airy, NC 27030-4426
Mailing AddressPo Box 1267Mt Airy, NC 27030-1267 · (336) 786-4522 · Fax (336) 789-3025
Fax(336) 786-3778
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateOctober 29, 2015
NPI 1942206453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 18662
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
708 S SOUTH ST, Mt Airy, NC 27030

Other Identifiers 4

Other1912995093NC · Surry Surgical Group Npi
Medicaid8945509NC
Medicare UPINC84684
Medicare PIN207526ANC

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 (PECOS)

Dr. David Dewitt 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.

Areas of Expertise CMS Part B claims 3

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.

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.
17 services17 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Internal Medicine
708 S SOUTH ST
MOUNT AIRY, NC 27030
Surgery
708 S SOUTH ST, STE 100
MT AIRY, NC 27030
Specialist
708 S SOUTH ST
MOUNT AIRY, NC 27030
Family Medicine
708 S SOUTH ST, SUITE 200
MOUNT AIRY, NC 27030
Internal Medicine (Pulmonary Disease)
708 S SOUTH ST
MOUNT AIRY, NC 27030
Specialist
708 S SOUTH ST
MOUNT AIRY, NC 27030
Surgery
708 S SOUTH ST, SUITE 100
MOUNT AIRY, NC 27030
Orthopaedic Surgery
708 S SOUTH ST
MOUNT AIRY, NC 27030

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 David Jackson's NPI number?

The NPI number for David Jackson is 1942206453. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is David Jackson located?

David Jackson practices at 708 S South St Ste 100, Mt Airy, NC 27030. The listed phone number is (336) 789-9176.

What is David Jackson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Jackson enrolled in Medicare?

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

What insurance does David Jackson accept?

Health plans from Blue Cross and Blue Shield of NC list David 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 David Jackson was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.