Kenneth Jackson, MD
NPI 1174083810 · Family Medicine Physician · Lebanon, NH
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Jackson, MD is a Family Medicine Physician provider in Lebanon, NH (NPI 1174083810).
Provider details
- NPI number
- 1174083810
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 22456 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
729 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 278 | $111 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 234 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 64 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $89 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 20 | $10 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 146 | 60 |
| Lisinopril | 89 | 29 |
| Losartan Potassium | 87 | 32 |
| Amlodipine Besylate | 66 | 28 |
| Levothyroxine Sodium | 61 | 22 |
| Omeprazole | 56 | 22 |
| Hydrochlorothiazide | 49 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2022-08-19
- Certified
- 2022-08-17
Frequently asked questions
- What is Kenneth Jackson's NPI number?
- Kenneth Jackson's National Provider Identifier (NPI) is 1174083810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Jackson's specialty?
- Kenneth Jackson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Jackson located?
- Kenneth Jackson's practice location on file with NPPES is 18 Old Etna Rd, Lebanon, NH 03766-1937.
- What is Kenneth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jackson is (603) 650-5000.
- Does Kenneth Jackson accept Medicare?
- Kenneth Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Jackson's NPI active?
- Yes — Kenneth Jackson's NPI (1174083810) is active in the NPPES registry as of the last update on 2022-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.