Doctor profile · Federal record
Dr. KENNETH JACKSON, MD
Family Medicine Physician (CMS: FAMILY PRACTICE) · LEBANON, NH
- NPI 1174083810
- Accepts Medicare
- MIPS 69.4 / 100 · 2023
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
18 OLD ETNA RD
LEBANON, NH 037661937
(603) 650-5000
Credentials & registration
- NPI registered
- March 2019 — 7 yrs on file
- Profile last updated
- August 19, 2022
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New Hampshire #22456
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174083810. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
270
Distinct HCPCS
2
Medicare allowed
$27,285
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 230 | 151 | $96 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | 40 | $129 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 60. This provider delivers 4.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
486
Patients
134
Total drug cost
$39,164
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 62 | 26 | $950 |
| Lisinopril | Generic | 61 | 23 | $669 |
| Losartan Potassium | Generic | 51 | 20 | $983 |
| Levothyroxine Sodium | Generic | 35 | 11 | $460 |
| Hydrochlorothiazide | Generic | 33 | 17 | $154 |
| Amlodipine Besylate | Generic | 30 | 14 | $353 |
| Methylphenidate Hcl | Generic | 30 | 0 | $179 |
| Simvastatin | Generic | 27 | 0 | $370 |
| Escitalopram Oxalate | Generic | 26 | 0 | $319 |
| Fluticasone Propionate | Generic | 23 | 0 | $224 |