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 Lebanon Family Medicine Physician, 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 |
Frequently asked questions
What is Dr. Kenneth Jackson's medical specialty?
Dr. Kenneth Jackson practices Family Medicine Physician in Lebanon, NH.
Where does Dr. Kenneth Jackson practice?
Dr. Kenneth Jackson practices at 18 Old Etna RD, Lebanon, NH 037661937. Office phone: 6036505000.
What is Dr. Kenneth Jackson's NPI?
Dr. Kenneth Jackson's National Provider Identifier (NPI) is 1174083810, issued by NPPES.
Does Dr. Kenneth Jackson accept Medicare assignment?
Yes. Dr. Kenneth Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Jackson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.