Keith Ryan Jackson, M.D.
Dermatology Physician · Staten Island, NY
Keith Ryan Jackson, M.D. is a dermatology physician with a practice address in Staten Island, New York, and NPI 1124116041, issued on Oct 10, 2006. Check the license (New York 212165, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Keith Ryan Jackson
- Credential
- M.D.
- Primary taxonomy
- Dermatology Physician 207N00000X
- License number
- 212165 NY
Self-reported in NPPES; status is on the state search - Practice location
- 11 Ralph PL, Staten Island, NY 10304
- Phone
- (718) 727-1331
- Enumerated
- Oct 10, 2006
- Record last updated
- May 28, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (718) 727-2159
- Medicaid ID
- 02239307 NY
- Medicare enrollment
- Enrolled (PECOS I20050228000013); may accept Medicare assignment
- Medical or professional school
- State University Of New York Downstate Medical Center, 1997
- Entity
- Type 1 · individual
8 nearest dermatology physician records → All 1,211 in New York → Look up another NPI →
Also registered at 11 Ralph PL
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Keith Ryan Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 212165Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.2 times the Medicare Part D claims of the average dermatology physician in 2024
1,714 Medicare Part D claims for 615 beneficiaries, against an average of 797 among the 12,802 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims.
Most prescribed
- Betamethasone Diprop Augmented411 claims
- Ketoconazole297 claims
- Triamcinolone Acetonide296 claims
- Ammonium Lactate147 claims
- Clobetasol Propionate141 claims
- Mupirocin69 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $587.64
15 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 10,250 providers of this specialty with any payment received $8,544.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Keith Ryan Jackson among 1,211 dermatology physician records in New York
Keith Ryan Jackson, M.D. is one of 1,211 dermatology physician records with a practice address in New York. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 54% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated1997 · median 2004 among the 880 with a school on file
- Record last updated2013 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dermatology Physician providers in New York
There are 1,211 dermatology physician records in New York.
All 1,211 in New York → Every provider in Staten Island → Dermatology Physician nationwide →
The 8 dermatology physician records with the nearest ZIP codes
- Ellen Blank, MDStaten Island, NY 103041033282900
- Charles Bernstein, MDStaten Island, NY 103061508847104
- Daniel Buchen, MDStaten Island, NY 103011922069467
- Michael Kurzman, M.D.Staten Island, NY 103091295707131
- Tejas Patel, M.D.Staten Island, NY 103091497041776
- Elaine Shnitkind, M.D.Staten Island, NY 103121841317484
- Josiane Lederman, M.D.Staten Island, NY 103141619981511
- Patricia McCormack, M.D.Staten Island, NY 103141891887543
Common questions
What is Keith Ryan Jackson, M.D.'s NPI number?
Keith Ryan Jackson, M.D.'s National Provider Identifier (NPI) is 1124116041, issued on Oct 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Keith Ryan Jackson, M.D. located?
The NPPES record lists a practice address at 11 Ralph PL, Staten Island, NY, 10304. Phone: (718) 727-1331. Providers update this record themselves, so call before visiting.
How can I verify Keith Ryan Jackson, M.D.'s license?
NPPES lists New York license number 212165, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Keith Ryan Jackson, M.D. prescribe under Medicare Part D?
In 2024, Keith Ryan Jackson, M.D. had 1,714 Medicare Part D claims for 615 beneficiaries; the average among dermatology physician prescribers was 797. Part D covers Medicare prescriptions only.
What is Keith Ryan Jackson, M.D.'s MIPS final score?
The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.