Doctor profile · Federal record
Dr. Cody Jackson, M.D.
General Practice Physician (CMS: Preventive Medicine) · Occupational Medicine Physician · Student in an Organized Health Care Education/Training Program · San Diego, CA
- NPI 1770715146
- Accepts Medicare
- 17 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3900 5Th Ave Ste 110
San Diego, CA 921033122
(858) 554-1212
fax (858) 795-1195 - Mailing address
-
9850 Genesee Ave, Ste 320
La Jolla, CA 920371208
Credentials & registration
- NPI registered
- August 2009 — 17 yrs on file
- Profile last updated
- July 5, 2022
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 208D00000X — NUCC code
- State license (1)
- California #A162265
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770715146. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
280
Distinct HCPCS
7
Medicare allowed
$31,005
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 74 | 36 | $191 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 61 | 30 | $136 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 51 | 27 | $34 | |
36415 |
Insertion of needle into vein for collection of blood sample | 40 | 27 | $8 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $176 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $138 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 15 | 15 | $20 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 120. This provider delivers 2.3× the peer median.Open Payments
Industry payments received
All-time total
$1,976
Transactions
97
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Gilead Sciences, Inc. | 30 | $528.80 | |
| Daiichi Sankyo Inc. | 26 | $411.27 | |
| ViiV Healthcare Company | 12 | $391.93 | |
| Phadia US Inc. | 3 | $120.04 | |
| Novo Nordisk Inc | 6 | $111.31 | |
| SANOFI-AVENTIS U.S. LLC | 4 | $97.38 | |
| PFIZER INC. | 4 | $73.60 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 3 | $57.47 | |
| Hologic Sales and Service, LLC | 2 | $55.24 | |
| Bayer Healthcare Pharmaceuticals Inc. | 3 | $49.93 | |
| Philips North America LLC | 2 | $33.94 | |
| Astellas Pharma US Inc | 1 | $28.25 | |
| EMD Serono, Inc. | 1 | $17.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
662
Patients
227
Total drug cost
$40,331
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 78 | 33 | $761 |
| Atorvastatin Calcium | Generic | 74 | 30 | $1,593 |
| Gabapentin | Generic | 71 | 31 | $2,435 |
| Rosuvastatin Calcium | Generic | 71 | 30 | $4,324 |
| Lisinopril | Generic | 60 | 22 | $610 |
| Omeprazole | Generic | 51 | 22 | $874 |
| Levothyroxine Sodium | Generic | 49 | 16 | $992 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 31 | 0 | $501 |
| Naproxen | Generic | 31 | 20 | $1,246 |
| Ramipril | Generic | 31 | 11 | $652 |
Frequently asked questions
What is Dr. Cody Jackson's medical specialty?
Dr. Cody Jackson practices General Practice Physician in San Diego, CA.
Where does Dr. Cody Jackson practice?
Dr. Cody Jackson practices at 3900 5Th Ave Ste 110, San Diego, CA 921033122. Office phone: 8585541212.
What is Dr. Cody Jackson's NPI?
Dr. Cody Jackson's National Provider Identifier (NPI) is 1770715146, issued by NPPES.
Does Dr. Cody Jackson accept Medicare assignment?
Yes. Dr. Cody Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Cody Jackson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214); Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS G2212). Source: CMS Medicare Physician & Other Practitioners file.