DR. DAVID SPENCER JACKSON M.D. NPI 1891796900

NPI Information

  • NPI: 1891796900
  • Provider Name: DR. DAVID SPENCER JACKSON, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11055 LITTLE PATUXENT PKWY
    SUITE 205
    COLUMBIA, MD
    ZIP 21044
  • Phone: (410) 740-0789

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NPI Details

DR. David Spencer Jackson, M.D. is a cardiovascular disease internal medicine in Columbia, MD with 45 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. David Spencer Jackson, M.D. NPI is 1891796900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:1980

The provider's business location address is:

11055 LITTLE PATUXENT PKWY
SUITE 205
COLUMBIA, MD
ZIP 21044-896
Phone: (410) 740-0789
Fax: (410) 740-7024

The NPI 1891796900 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, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Blood test, clotting time (HCPCS:85610)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Uric acid level, blood (HCPCS:84550)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS:93351)
  • Heart rhythm recording continous external ekg over more than 48 hours up to 7 days (HCPCS:93242)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Vitamin d-3 level (HCPCS:82306)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • Hemoglobin a1c level (HCPCS:83036)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS:93272)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Programming of single lead pacemaker system (HCPCS:93279)
  • Programming of single lead implantable defibrillator system (HCPCS:93282)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days (HCPCS:93293)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 8/22/2019.

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
1207RC0000XInternal MedicineCardiovascular DiseaseD35217MARYLANDYes

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
1478471500MEDICAIDMARYLAND
20149212OTHERMARYLANDCIGNA PIN
3398140-03OTHERMARYLANDCAREFIRST MD RENDERING
4018410OTHERMARYLANDJHHC PROVIDER NUMBER
50477972OTHERMARYLANDAETNA CAPITATED
6318934OTHERMARYLANDMAMSI SPECIALIST
7060041579OTHERMARYLANDRR MEDICARE
8P528953OTHERMARYLANDCAREFIRST MPOS
93509-0006OTHERMARYLANDCAREFIRST BLUECHOICE
104238639OTHERMARYLANDAETNA FEE FOR SERVICE

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: 3/30/2025

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