NPI Details
DR. Michelle Jackson, MD is a procedural dermatology dermatology in Oceanside, CA with 20 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Michelle Jackson, MD NPI is 1184846529. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:2006
The provider's business location address is:
3613 VISTA WAY
OCEANSIDE, CA
ZIP 92056-522
Phone: (760) 758-5340
Fax: (760) 758-5502
The NPI 1184846529 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.
- Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Application of ultraviolet light to skin (HCPCS:96900)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Simple or single drainage of skin abscess (HCPCS:10060)
- Punch biopsy, first skin growth (HCPCS:11104)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
- Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
- Removal of skin tag, 1-15 skin tags (HCPCS:11200)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/29/2012.
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 |
| 1 | 207ND0900X | Dermatology | Dermatopathology | A102012 | CALIFORNIA | No |
| 2 | 207NS0135X | Dermatology | Procedural Dermatology | A102012 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | GG162Z | OTHER | CALIFORNIA | PTAN |
