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PROVIDER PROFILE · NPI 1124116041

Keith JacksonM.D.

PRACTICEKEITH RYAN JACKSON MD PCSee all providers at this practice →
DermatologyStaten Island, NYI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 111336
Hospital
QUALITY · MIPS · 2024
Final MIPS score
85.0
Quality
72.8
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.42%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
1,625
Beneficiaries
—
Total drug cost
$153K
Distinct drugs
17
Brand share
27.4%
Top prescribed drugs
Betamethasone/Propylene Glyc411 claims
Ketoconazole297 claims
Triamcinolone Acetonide296 claims
Ammonium Lactate147 claims
Clobetasol Propionate141 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,902
Unique beneficiaries
—
Total services
5,593
Distinct HCPCS
18
Medicare payment
$358K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 960 Dermatology providers in NY — top quintile (cohort median 1,575).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$588
Payment records
15
By payment type
Food and Beverage$473
Education$114
REFERRAL NETWORK

Where Keith Jackson's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 4 inbound referrers · 10 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Ameripath New York Llc
Clinical Laboratory · White Plains, NY
185335
STATEN ISLAND UNIVERSITY HOSPITAL104211
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
1734
John Reilly
Orthopedic Surgery · Staten Island, NY
1115
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
STATEN ISLAND UNIVERSITY HOSPITAL106254
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
80141
Ameripath New York Llc
Clinical Laboratory · White Plains, NY
5364
Colleen Sisson
Physician Assistant · Flemington, NJ
3540
RICHMOND MEDICAL CENTER1942
Bioreference Health, Llc
Clinical Laboratory · Elmwood Park, NJ
1524
Robert Miele
Podiatry · Staten Island, NY
1532
Jeffry Tambor
Internal Medicine · Staten Island, NY
1249
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
1223
Keith Mobilia
Podiatry · Staten Island, NY
1120
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.