Doctor profile · Federal record
Dr. Samuel Jackson
Psychiatry Physician (CMS: Psychiatry) · Psychiatry Physician · Boston, MA
- NPI 1255794160
- Accepts Medicare
- MIPS 87.0 / 100 · 2023
- 10 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1 Boston Medical Ctr Pl
Boston, MA 021182908
(617) 414-5245 - Additional location
-
825 Eastlake Ave E
Seattle, WA 981094405
(206) 520-5000 - Mailing address
-
960 Massachusetts Ave Ste 2
Boston, MA 021182690
Credentials & registration
- NPI registered
- March 2016 — 10 yrs on file
- Profile last updated
- October 3, 2025
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 2084P0800X — NUCC code
- State licenses (2)
- Massachusetts #1023020 · Washington #MD61035793
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255794160. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
215
Distinct HCPCS
4
Medicare allowed
$21,135
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 103 | 34 | $105 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 62 | 17 | $105 | |
90833 |
Psychotherapy with evaluation and management visit, 30 minutes | 25 | 16 | $66 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25 | 17 | $85 |
In context: peer comparison
Among 128 peers in Boston Psychiatry Physician, average services per provider: 69. This provider delivers 3.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
939
Patients
90
Total drug cost
$38,147
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Bupropion Xl (Bupropion Hcl) | Brand | 133 | 19 | $3,702 |
| Quetiapine Fumarate | Generic | 113 | 17 | $1,191 |
| Aripiprazole | Generic | 96 | 16 | $3,331 |
| Duloxetine Hcl | Generic | 77 | 13 | $1,015 |
| Mirtazapine | Generic | 72 | 13 | $791 |
| Trazodone Hcl | Generic | 68 | 12 | $721 |
| Venlafaxine Hcl ER (Venlafaxine Hcl) | Brand | 64 | 0 | $928 |
| Clonazepam | Generic | 62 | 0 | $324 |
| Lamotrigine | Generic | 43 | 0 | $430 |
| Lorazepam | Generic | 42 | 0 | $334 |
Hospital affiliations
Frequently asked questions
What is Dr. Samuel Jackson's medical specialty?
Dr. Samuel Jackson practices Psychiatry Physician in Boston, MA.
Where does Dr. Samuel Jackson practice?
Dr. Samuel Jackson practices at 1 Boston Medical Ctr Pl, Boston, MA 021182908. Office phone: 6174145245.
What is Dr. Samuel Jackson's NPI?
Dr. Samuel Jackson's National Provider Identifier (NPI) is 1255794160, issued by NPPES.
Does Dr. Samuel Jackson accept Medicare assignment?
Yes. Dr. Samuel Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Jackson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99214); Psychotherapy with evaluation and management visit (HCPCS 90833). Source: CMS Medicare Physician & Other Practitioners file.