BENJAMIN MATERI JACKSON MD NPI 1164588448

NPI Information

  • NPI: 1164588448
  • Provider Name: BENJAMIN MATERI JACKSON, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1259 S CEDAR CREST BLVD STE 301
    ALLENTOWN, PA
    ZIP 18103
  • Phone: (610) 402-9400

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NPI Details

Benjamin Materi Jackson, MD is a vascular surgery surgery in Allentown, PA with 26 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Benjamin Materi Jackson, MD NPI is 1164588448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2000

The provider's business location address is:

1259 S CEDAR CREST BLVD STE 301
ALLENTOWN, PA
ZIP 18103-206
Phone: (610) 402-9400
Fax: (610) 437-8807

The NPI 1164588448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Exposure of groin artery for delivery of graft (HCPCS:34713)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 12/29/2006 and was last updated on 7/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryMD420325PENNSYLVANIANo
22086S0129XSurgeryVascular SurgeryMT047810TPENNSYLVANIANo
32086S0129XSurgeryVascular SurgeryMD420325PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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