Doctor profile · Federal record
Dr. Theodore Jackson, M.D.
Plastic Surgery Physician · Surgery of the Hand (Plastic Surgery) Physician · Charleston, WV
- NPI 1942294376
- MIPS 0.0 / 100 · 2023
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1306 Kanawha Blvd E, Suite 100
Charleston, WV 253013001
(304) 342-1113
fax (304) 346-2271
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- March 12, 2009
- Specialty taxonomy
- 208200000X — NUCC code
- State license (1)
- West Virginia #13531
- Medicaid
- WV #0051155000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942294376. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
466
Distinct HCPCS
10
Medicare allowed
$51,820
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg | 84 | 18 | $4 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 64 | 64 | $67 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 58 | 58 | $104 | |
64721 |
Release and/or relocation of hand nerve | 52 | 38 | $375 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 39 | 36 | $52 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 33 | 32 | $84 | |
12051 |
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 28 | 27 | $148 | |
26055 |
Incision of tendon covering of finger | 24 | 18 | $213 | |
12031 |
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | 22 | 20 | $97 | |
11641 |
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | 20 | 18 | $73 |
In context: peer comparison
Among 2 peers in Charleston Plastic Surgery Physician, average services per provider: 42. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$61
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $31.21 | |
| Musculoskeletal Transplant Foundation INC. | 1 | $29.79 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
284
Patients
265
Total drug cost
$2,583
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 169 | 159 | $783 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 36 | 29 | $334 |
| Cephalexin | Generic | 36 | 36 | $132 |
| Ondansetron Odt (Ondansetron) | Brand | 30 | 29 | $99 |
| Fluorouracil | Generic | 13 | 12 | $1,235 |
Frequently asked questions
What is Dr. Theodore Jackson's medical specialty?
Dr. Theodore Jackson practices Plastic Surgery Physician in Charleston, WV.
Where does Dr. Theodore Jackson practice?
Dr. Theodore Jackson practices at 1306 Kanawha Blvd E, Charleston, WV 253013001. Office phone: 3043421113.
What is Dr. Theodore Jackson's NPI?
Dr. Theodore Jackson's National Provider Identifier (NPI) is 1942294376, issued by NPPES.
What procedures does Dr. Theodore Jackson commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, preservative free, 1 mg (HCPCS J3300); New patient office or other outpatient visit (HCPCS 99202); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.