Doctor profile · Federal record

Dr. Wayne Jackson, PA

Medical Physician Assistant · Potsdam, NY

  • NPI 1750387023
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
50 Leroy St
Potsdam, NY 136761786
(315) 265-3300
Additional location
4 Fuller Street, River Hospital
Alexandria Bay, NY 13607
(315) 482-2511
fax (315) 482-4981

Credentials & registration

NPPES · NUCC
NPI registered
June 2005 — 21 yrs on file
Profile last updated
March 31, 2021
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
New York #004496

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1750387023. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
185
Distinct HCPCS
3
Medicare allowed
$22,000
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 100 98 $144
99284 Emergency department visit with moderate level of medical decision making 68 66 $98
99283 Emergency department visit with low level of medical decision making 17 16 $59

In context: peer comparison

Among 3 peers in this city , average services per provider: 60. This provider delivers 3.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
68
Patients
67
Total drug cost
$774
Drug Type Claims Patients Total cost
Doxycycline Monohydrate Generic 22 22 $434
Cephalexin Generic 21 21 $220
Methylprednisolone Generic 13 13 $98
Prednisone Generic 12 11 $23

Frequently asked questions

Auto-generated from federal data
What is Dr. Wayne Jackson's medical specialty?
Dr. Wayne Jackson practices Medical Physician Assistant in Potsdam, NY.
Where does Dr. Wayne Jackson practice?
Dr. Wayne Jackson practices at 50 Leroy St, Potsdam, NY 136761786. Office phone: 3152653300.
What is Dr. Wayne Jackson's NPI?
Dr. Wayne Jackson's National Provider Identifier (NPI) is 1750387023, issued by NPPES.
What procedures does Dr. Wayne Jackson commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.