Doctor profile · Federal record
Dr. Ivan Jackson, MD
Internal Medicine Physician (CMS: Internal Medicine) · Dothan, AL
- NPI 1205839362
- Accepts Medicare
- MIPS 87.8 / 100 · 2023
- 47 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
210 Westside Dr
Dothan, AL 363031928
(334) 793-5074
fax (334) 793-6460
Credentials & registration
- NPI registered
- May 2005 — 21 yrs on file
- Profile last updated
- March 3, 2021
- Year of graduation
- 1979 — 47 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Alabama #11508
- Medicaid
- AL #000015699
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205839362. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,060
Distinct HCPCS
10
Medicare allowed
$68,248
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 314 | 121 | $120 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 122 | 71 | $8 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 106 | 106 | $122 | |
80048 |
Blood test, basic group of blood chemicals (calcium, total) | 96 | 54 | $8 | |
80053 |
Blood test, comprehensive group of blood chemicals | 89 | 69 | $10 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 84 | 66 | $85 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 40 | 35 | $13 | |
96372 |
Injection of drug or substance under skin or into muscle | 36 | 31 | $13 | |
J1040 |
Injection, methylprednisolone acetate, 80 mg | 29 | 22 | $12 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 23 | 20 | $53 |
In context: peer comparison
Among 24 peers in this city , average services per provider: 176. This provider delivers 6.0× the peer median.Open Payments
Industry payments received
All-time total
$1,029
Transactions
63
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 15 | $187.71 | |
| GlaxoSmithKline, LLC. | 7 | $135.00 | |
| AstraZeneca Pharmaceuticals LP | 6 | $103.88 | |
| PFIZER INC. | 6 | $102.88 | |
| ABBVIE INC. | 5 | $99.02 | |
| Astellas Pharma US Inc | 5 | $76.96 | |
| Otsuka America Pharmaceutical, Inc. | 4 | $69.96 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 3 | $62.09 | |
| Amgen Inc. | 3 | $48.43 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 2 | $33.31 | |
| Phathom Pharmaceuticals, Inc. | 2 | $33.12 | |
| Novo Nordisk Inc | 2 | $27.91 | |
| Esperion Therapeutics, Inc. | 1 | $17.69 | |
| Janssen Pharmaceuticals, Inc | 1 | $15.37 | |
| Kowa Pharmaceuticals America, Inc. | 1 | $15.26 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,973
Patients
529
Total drug cost
$325,418
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 289 | 74 | $6,241 |
| Amlodipine Besylate | Generic | 190 | 61 | $1,692 |
| Mounjaro (Tirzepatide) | Brand | 169 | 24 | $188,122 |
| Rosuvastatin Calcium | Generic | 163 | 50 | $4,279 |
| Valsartan | Generic | 163 | 41 | $6,950 |
| Pantoprazole Sodium | Generic | 148 | 47 | $2,802 |
| Eliquis (Apixaban) | Brand | 129 | 18 | $100,384 |
| Levothyroxine Sodium | Generic | 111 | 30 | $2,714 |
| Carvedilol | Generic | 95 | 26 | $1,531 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 93 | 32 | $1,450 |
Hospital affiliations
Frequently asked questions
What is Dr. Ivan Jackson's medical specialty?
Dr. Ivan Jackson practices Internal Medicine Physician in Dothan, AL.
Where does Dr. Ivan Jackson practice?
Dr. Ivan Jackson practices at 210 Westside Dr, Dothan, AL 363031928. Office phone: 3347935074.
What is Dr. Ivan Jackson's NPI?
Dr. Ivan Jackson's National Provider Identifier (NPI) is 1205839362, issued by NPPES.
Does Dr. Ivan Jackson accept Medicare assignment?
Yes. Dr. Ivan Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ivan Jackson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS 85025); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.