Doctor profile · Federal record
Dr. Kyle Jackson, M.D., PH.D.
Surgery Physician (CMS: General Surgery) · Philadelphia, PA
- NPI 1164849352
- Accepts Medicare
- MIPS 86.9 / 100 · 2023
- 12 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3400 Spruce Street, 4 Silverstein
Philadelphia, PA 101044206
(215) 615-4949
fax (215) 662-2244
Credentials & registration
- NPI registered
- March 2014 — 12 yrs on file
- Profile last updated
- October 30, 2024
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Pennsylvania #MD485481
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164849352. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
127
Distinct HCPCS
4
Medicare allowed
$21,310
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
50360 |
Transplantation of donor kidney | 49 | 49 | $387 | |
50323 |
Preparation of donor kidney for transplantation | 38 | 38 | $15 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $65 | |
50327 |
Preparation of donor kidney and veins for transplantation | 18 | 17 | $17 |
In context: peer comparison
Among 73 peers in Philadelphia Surgery Physician, average services per provider: 40. This provider delivers 3.2× the peer median.Open Payments
Industry payments received
All-time total
$89
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ethicon US, LLC | 1 | $88.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
57
Patients
46
Total drug cost
$299
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 30 | 30 | $171 |
| Oxycodone Hcl | Generic | 16 | 16 | $67 |
| Venlafaxine Hcl ER (Venlafaxine Hcl) | Brand | 11 | 0 | $61 |
Frequently asked questions
What is Dr. Kyle Jackson's medical specialty?
Dr. Kyle Jackson practices Surgery Physician in Philadelphia, PA.
Where does Dr. Kyle Jackson practice?
Dr. Kyle Jackson practices at 3400 Spruce Street, Philadelphia, PA 101044206. Office phone: 2156154949.
What is Dr. Kyle Jackson's NPI?
Dr. Kyle Jackson's National Provider Identifier (NPI) is 1164849352, issued by NPPES.
Does Dr. Kyle Jackson accept Medicare assignment?
Yes. Dr. Kyle Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kyle Jackson commonly perform?
Top Medicare-reported procedures in 2023: Transplantation of donor kidney (HCPCS 50360); Preparation of donor kidney for transplantation (HCPCS 50323); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.