Doctor profile · Federal record
Dr. Susan Jackson, RPA-C
Medical Physician Assistant (CMS: Physician Assistant) · Lyons, NY
- NPI 1649557208
- Accepts Medicare
- MIPS 85.3 / 100 · 2023
- 15 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12 Leach RD
Lyons, NY 144899732
(315) 946-6075
Credentials & registration
- NPI registered
- November 2011 — 15 yrs on file
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- New York #015280
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649557208. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
191
Distinct HCPCS
4
Medicare allowed
$5,277
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | 105 | 105 | $21 | |
99406 |
Smoking and tobacco use intensive counseling, 4-10 minutes | 47 | 47 | $10 | |
99407 |
Smoking and tobacco use intensive counseling, more than 10 minutes | 24 | 24 | $21 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $138 |
In context: peer comparison
Among 1 peers in Lyons Medical Physician Assistant, average services per provider: 47. This provider delivers 4.1× the peer median.Open Payments
Industry payments received
All-time total
$2,073
Transactions
92
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 23 | $370.40 | |
| Pfizer INC. | 10 | $357.23 | |
| Janssen Biotech, INC. | 19 | $308.65 | |
| Ardelyx, INC. | 11 | $250.31 | |
| Takeda Pharmaceuticals U.S.A., INC. | 14 | $225.44 | |
| Gilead Sciences, INC. | 7 | $179.08 | |
| Madrigal Pharmaceuticals | 2 | $138.13 | |
| Phathom Pharmaceuticals, INC. | 1 | $110.68 | |
| Regeneron Healthcare Solutions, INC. | 3 | $89.60 | |
| Sandoz INC. | 2 | $43.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
169
Patients
67
Total drug cost
$30,671
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Bupropion Hcl SR (Bupropion Hcl) | Brand | 55 | 13 | $1,048 |
| Varenicline Tartrate | Generic | 50 | 17 | $19,874 |
| Omeprazole | Generic | 24 | 12 | $313 |
| Pantoprazole Sodium | Generic | 23 | 11 | $281 |
| Nicotrol (Nicotine) | Brand | 17 | 14 | $9,154 |
Hospital affiliations
Frequently asked questions
What is Dr. Susan Jackson's medical specialty?
Dr. Susan Jackson practices Medical Physician Assistant in Lyons, NY.
Where does Dr. Susan Jackson practice?
Dr. Susan Jackson practices at 12 Leach RD, Lyons, NY 144899732. Office phone: 3159466075.
What is Dr. Susan Jackson's NPI?
Dr. Susan Jackson's National Provider Identifier (NPI) is 1649557208, issued by NPPES.
Does Dr. Susan Jackson accept Medicare assignment?
Yes. Dr. Susan Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Susan Jackson commonly perform?
Top Medicare-reported procedures in 2023: Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) (HCPCS G0296); Smoking and tobacco use intensive counseling (HCPCS 99406); Smoking and tobacco use intensive counseling (HCPCS 99407). Source: CMS Medicare Physician & Other Practitioners file.