CHARLES MARK JACKSON M.D. NPI 1255659082

NPI Details

Charles Mark Jackson, M.D. is an urology in Fayetteville, AR with 15 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Charles Mark Jackson, M.D. NPI is 1255659082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2010

The provider's business location address is:

3 E APPLEBY RD STE 201
FAYETTEVILLE, AR
ZIP 72703-158
Phone: (479) 404-1100
Fax: (479) 404-1101

The NPI 1255659082 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.

• Bcg live intravesical instillation, 1 mg (HCPCS:J9030)
• Automated urinalysis test (HCPCS:81003)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Insertion of stent in ureter using an endoscope (HCPCS:52332)
• Instillation of anti-cancer drug into bladder (HCPCS:51720)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
• Biopsy of prostate gland (HCPCS:55700)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
• Biopsy of prostate gland (HCPCS:55700)
• Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 5/4/2010 and was last updated on 6/19/2023.

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: