Keith Jackson, M.D.
NPI 1124116041 · Dermatology Physician · Staten Island, NY
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Jackson, M.D. is a Dermatology Physician provider in Staten Island, NY (NPI 1124116041).
Provider details
- NPI number
- 1124116041
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 212165 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,459 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,487 | $100 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 1,145 | $7 |
| Destruction of Skin Growth, 1-14 Growths17110 | 807 | $118 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 635 | $41 |
| Destruction of Precancer Skin Growth, 15 Or More Growths17004 | 274 | $188 |
| Biopsy of Related Skin Growth, First Growth11102 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Betamethasone/Propylene Glycbrand: Betamethasone Diprop Augmented | 411 | 259 |
| Ketoconazole | 297 | 142 |
| Triamcinolone Acetonide | 296 | 163 |
| Ammonium Lactate | 147 | 91 |
| Clobetasol Propionate | 141 | 82 |
| Mupirocin | 69 | 51 |
| Prednisone | 66 | 51 |
| Metronidazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$588 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2013-05-28
Frequently asked questions
- What is Keith Jackson's NPI number?
- Keith Jackson's National Provider Identifier (NPI) is 1124116041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Jackson's specialty?
- Keith Jackson is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Keith Jackson located?
- Keith Jackson's practice location on file with NPPES is 11 Ralph Pl, Staten Island, NY 10304-4419.
- What is Keith Jackson's phone number?
- The practice phone number listed in the NPPES registry for Keith Jackson is (718) 727-1331.
- Does Keith Jackson accept Medicare?
- Keith Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Jackson's NPI active?
- Yes — Keith Jackson's NPI (1124116041) is active in the NPPES registry as of the last update on 2013-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.