Doctor profile · Federal record
Dr. Mia Jackson, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · St Petersburg, FL
- NPI 1861679870
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 21 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2191 9Th Ave N Ste 120
St Petersburg, FL 337137147
(727) 954-6519
fax (727) 954-6524 - Mailing address
-
Po Box 748817
Atlanta, GA 303748817
Credentials & registration
- NPI registered
- January 2008 — 18 yrs on file
- Profile last updated
- June 22, 2023
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- Florida #ME109939 · Georgia #002024
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861679870. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
5,623
Distinct HCPCS
10
Medicare allowed
$253,242
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
A9585 |
Injection, gadobutrol, 0.1 ml | 2,344 | 34 | $0 | |
77063 |
Screening 3d breast mammography | 688 | 688 | $51 | |
77067 |
Screening mammography | 678 | 678 | $123 | |
76770 |
Complete ultrasound scan behind abdominal cavity | 246 | 239 | $102 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 174 | 173 | $29 | |
77063 |
Screening 3d breast mammography | 163 | 163 | $29 | |
77067 |
Screening mammography | 161 | 161 | $37 | |
71250 |
Ct scan of chest without contrast | 154 | 152 | $131 | |
77066 |
Diagnostic mammography of both breasts | 142 | 141 | $47 | |
76705 |
Limited ultrasound scan of abdomen | 123 | 121 | $83 |
In context: peer comparison
Among 17 peers in St Petersburg Diagnostic Radiology Physician, average services per provider: 278. This provider delivers 20× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Mia Jackson's medical specialty?
Dr. Mia Jackson practices Diagnostic Radiology Physician in St Petersburg, FL.
Where does Dr. Mia Jackson practice?
Dr. Mia Jackson practices at 2191 9Th Ave N Ste 120, St Petersburg, FL 337137147. Office phone: 7279546519.
What is Dr. Mia Jackson's NPI?
Dr. Mia Jackson's National Provider Identifier (NPI) is 1861679870, issued by NPPES.
Does Dr. Mia Jackson accept Medicare assignment?
Yes. Dr. Mia Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mia Jackson commonly perform?
Top Medicare-reported procedures in 2023: Injection, gadobutrol, 0.1 ml (HCPCS A9585); Screening 3d breast mammography (HCPCS 77063); Screening mammography (HCPCS 77067). Source: CMS Medicare Physician & Other Practitioners file.