Theodore Jackson, M.D.
NPI 1942294376 · Plastic Surgery Physician · Charleston, WV
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Jackson, M.D. is a Plastic Surgery Physician provider in Charleston, WV (NPI 1942294376).
Provider details
- NPI number
- 1942294376
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 13531 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
387 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 89 | $98 |
| Injection, Triamcinolone Acetonide, Preservative Free, 1 MgJ3300 | 68 | $1 |
| Release And/Or Relocation of Hand Nerve64721 | 59 | $377 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 50 | $79 |
| Incision of Tendon Covering of Finger26055 | 27 | $210 |
| Injection Into Tendon Or Ligament20550 | 25 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 200 | 178 |
| Cephalexin | 30 | 29 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 28 | 24 |
| Ondansetronbrand: Ondansetron Odt | 14 | 14 |
| Fluorouracil | 11 | 11 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 11 | 11 |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$61 across 2 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
- 2005-08-31
- Last updated
- 2009-03-12
Frequently asked questions
- What is Theodore Jackson's NPI number?
- Theodore Jackson's National Provider Identifier (NPI) is 1942294376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Jackson's specialty?
- Theodore Jackson is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Jackson located?
- Theodore Jackson's practice location on file with NPPES is 1306 Kanawha Blvd E, Charleston, WV 25301-3001.
- What is Theodore Jackson's phone number?
- The practice phone number listed in the NPPES registry for Theodore Jackson is (304) 342-1113.
- Does Theodore Jackson accept Medicare?
- Theodore Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Jackson's NPI active?
- Yes — Theodore Jackson's NPI (1942294376) is active in the NPPES registry as of the last update on 2009-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.