Ivan Jackson, MD
NPI 1205839362 · Internal Medicine Physician · Dothan, AL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivan Jackson, MD is a Internal Medicine Physician provider in Dothan, AL (NPI 1205839362).
Provider details
- NPI number
- 1205839362
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 11508 (AL)
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
21 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
1,026 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 259 | $117 |
| 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 | 151 | $15 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 134 | $82 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 108 | $119 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 106 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 111 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 305 | 73 |
| Tirzepatidebrand: Mounjaro | 255 | 29 |
| Rosuvastatin Calcium | 251 | 69 |
| Amlodipine Besylate | 213 | 60 |
| Pantoprazole Sodium | 173 | 52 |
| Valsartan | 172 | 41 |
| Apixaban |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,029 across 63 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
- 2005-05-23
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Frequently asked questions
- What is Ivan Jackson's NPI number?
- Ivan Jackson's National Provider Identifier (NPI) is 1205839362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Jackson's specialty?
- Ivan Jackson is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ivan Jackson located?
- Ivan Jackson's practice location on file with NPPES is 210 Westside Dr, Dothan, AL 36303-1928.
- What is Ivan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ivan Jackson is (334) 793-5074.
- Does Ivan Jackson accept Medicare?
- Ivan Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivan Jackson's NPI active?
- Yes — Ivan Jackson's NPI (1205839362) is active in the NPPES registry as of the last update on 2021-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.