DR. THEODORE A. JACKSON M.D.
NPI 1942294376
Plastic Surgery in Charleston, WV

Q: What is Theodore Jackson's NPI number?

The NPI number for Theodore Jackson is 1942294376. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Q: What is Theodore Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Jackson was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

1306 KANAWHA BLVD E, SUITE 100, CHARLESTON, WV 25301(304) 342-1113(304) 346-2271 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Theodore A. Jackson M.d. NPPES

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

DR. THEODORE A. JACKSON M.D. (NPI 1942294376) is an individual plastic surgery provider in Charleston, West Virginia, licensed in West Virginia (13531) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1982).

NPPES Registry Identity

NPI1942294376

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. THEODORE A. JACKSONCredential: M.D.

Location Address1306 KANAWHA BLVD E, SUITE 100Charleston, WV 25301-3001

Mailing Address1306 Kanawha Blvd E, Suite 100Charleston, WV 25301-3001 · (304) 342-1113 · Fax (304) 346-2271

Phone(304) 342-1113

Fax(304) 346-2271

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1982

Enumeration DateAugust 31, 2005

Last NPPES UpdateMarch 12, 2009

✔ NPI 1942294376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in WV · 13531

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.

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 13531 (WV)

1306 KANAWHA BLVD E, Charleston, WV 25301

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Other Identifiers 3

Medicare UPINE39927

Medicaid0051155000WV

Medicare PIN0668961

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. Theodore A. 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 ID1850462581

PECOS Enrollment IDI20111123000276

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 10

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.

89 services89 patients

Injection, triamcinolone acetonide, preservative free, 1 mg J3300

Triamcinolone acetonide is a medication given through injection to reduce inflammation in various parts of the body. It's a steroid that helps alleviate symptoms like swelling, redness, and pain. This specific injection is preservative-free.

68 services15 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

59 services44 patients

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.

50 services47 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

27 services22 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

25 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

HANS LEE MD INC

Plastic Surgery

1306 KANAWHA BLVD E, SUITE 100
CHARLESTON, WV 25301

Kanawha County (304) 342-1113

JANE S MCNEIL CRNA

Anesthesiology