KYLE JEFFERSON JACKSON D.O. NPI 1548569056

NPI Details

Kyle Jefferson Jackson, D.O. is an endocrinology and diabetes and metabolism internal medicine in Tyler, TX with 15 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Kyle Jefferson Jackson, D.O. NPI is 1548569056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2011

The provider's business location address is:

619 S FLEISHEL AVE
SUITE 327
TYLER, TX
ZIP 75701-004
Phone: (903) 510-1173

The NPI 1548569056 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.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
• Hemoglobin a1c level (HCPCS:83036)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
• Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
• Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 3/23/2011 and was last updated on 4/3/2025.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.