Mark K Jackson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

196101 Issued in NY

Practice address

110 W 6TH St
Oswego, NY 13126-2507

Phone

(315) 349-5000

NPI assigned

Aug 30, 2005

Last updated

Sep 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Tufts University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians

United Health Services Hospitals, Inc.Group PAC ID 5193610533, 471 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chenango Memorial Hospital Hospital, Norwich, NY, CCN 330033
• United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394
• Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
• Delaware Valley Hospital, Inc Hospital, Walton, NY, CCN 331312

Merit-based Incentive Payment System (MIPS)

Final score

96.41 of 100Reported as group

Quality

90.71

Promoting interoperability

99

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.14 of 100Reported as group

Quality

86.74

Promoting interoperability

99

Improvement activities

40

Cost

70.09

Merit-based Incentive Payment System (MIPS)

Final score

93.4 of 100Reported as group

Quality

86.36

Promoting interoperability

99

Improvement activities

40

Cost

79.9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chenango Memorial Hospital Inc

  • General Acute Care Hospital
  • Norwich, NY
  • NPI 1770593956
  Medicare reassignment Care Compare group NPD
• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  Medicare reassignment Care Compare group NPD
• Delaware Valley Hospital, Inc

  • Critical Access Hospital Clinic/Center
  • Walton, NY
  • NPI 1144312646
  Medicare reassignment NPD
• Delaware Valley Hospital, Inc

  • Critical Access Hospital
  • Walton, NY
  • NPI 1417940719
  Medicare reassignment NPD
• Chenango Memorial Hospital Inc

  • Durable Medical Equipment & Medical Supplies
  • Norwich, NY
  • NPI 1437818622
  NPD
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889
  NPD
• Crouse Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1447244587
  NPD (past)
• Delaware Valley Hospital, Inc

  • Critical Access Hospital Clinic/Center
  • Walton, NY
  • NPI 1801132923
  NPD (past)
• Oswego Radiology, PC

  • Diagnostic Radiology Physician
  • Oswego, NY
  • NPI 1225021868
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chenango Memorial Hospital Inc

  • General Acute Care Hospital
  • Norwich, NY
  • NPI 1770593956
  Care Compare affiliation
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Hospital

  Care Compare affiliation
• Delaware Valley Hospital, Inc

  • Critical Access Hospital
  • Walton, NY
  • NPI 1417940719
  Care Compare affiliation
• Mary Imogene Bassett Hospital

  dba Bassett Healthcare

  • Rural Acute Care Hospital
  • Cooperstown, NY
  • NPI 1780600577
  Care Compare affiliation
• United Health Services Hospitals, Inc.

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1518998699
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1063405538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W UTICA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263031",
            "telephone_number": "315-343-0257",
            "fax_number": "315-343-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "196101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aric A Iosue, PHARMD
• Megan Rae Irland, P.A.
• Ivan G Proano MD PLLC
• Chase Izyk, DC
• Abigail I Jackson
• Elizabeth Jacobs
• Norman D Jaffe, MD
• James I Boles, M.D., P.C.
• Anika Rae James, PT, DPT
• Marissa James, M.S.

• Diagnostic Radiology Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.