2026 NPPES data Physician Assistant NPI 1588373716 PA
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KODI JACKSON, PA

Physician Assistant in JACKSON, Mississippi. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
204
Medicare Part D claims · 54 beneficiaries · Physician Assistant avg: 790
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$359.74
14 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KODI JACKSON, PA is a Physician Assistant ([object Object]) practicing in JACKSON, Mississippi with a Medicare Part D prescribing footprint of 204 claims across 54 beneficiaries — 18% brand-name prescribing . Industry payments of $359.74 across 14 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KODI JACKSON, PA filed 204 Medicare Part D claims in 2023 across JACKSON, Mississippi. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KODI JACKSON, PA at a glance

Quality data not reported

NPI registry status

Active

Issued 11/16/2022

NPI 1588373716

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

204 74% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Mississippi

How Physician Assistant compares to other specialties among Mississippi providers

Mississippi providers

Physician Assistant share within Mississippi

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Mississippi

Specialty board-certification context

Estimated specialty board-certified rate — Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KODI JACKSON, PA is a Physician Assistant provider practicing in JACKSON, Mississippi, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1588373716. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KODI JACKSON, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 969 LAKELAND DR, JACKSON, MS, 39216, with a listed phone of (601) 200-3631. NPI 1588373716 was issued on 11/16/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JACKSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 204 prescription claims written by this provider, covering 54 Medicare beneficiaries and totaling roughly $22K in drug spend, split 18% brand-name and 82% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

969 LAKELAND DR
JACKSON, MS 39216

Provider Details

NPI 1588373716
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 11/16/2022

Hospital and facility affiliations

Facilities where KODI JACKSON, PA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

RH MISSISSIPPI HOSPITALIST MEDICINE LLC
JACKSON, MS
ST. DOMINIC JACKSON MEMORIAL
JACKSON, MS
ST. DOMINIC MEDICAL ASSOCIATES LLC
MADISON, MS

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KODI JACKSON, PA. Source: openpaymentsdata.cms.gov.

Total received

$360

Largest payer

Janssen Pharmaceuticals, Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

KODI JACKSON, PA — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 204 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

204
Total Claims
$22K
Total Drug Cost
54
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
321
Total Day Supply
9,023
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$19K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.88
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
31
Eliquis
Apixaban
22
Carvedilol
12
Clopidogrel
Clopidogrel Bisulfate
12
Losartan Potassium
12
Nifedipine Er
Nifedipine
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physician Assistant Overview

How KODI JACKSON, PA fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

KODI JACKSON, PA's 204 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Mississippi

Other clinicians with the same primary specialty enrolled in Mississippi, drawn from the same CMS NPPES roster as JACKSON.

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is KODI JACKSON, PA's specialty?
KODI JACKSON, PA specializes in Physician Assistant and practices in JACKSON, Mississippi. Credentials: PA.
How much does KODI JACKSON, PA prescribe under Medicare Part D?
In 2023, KODI JACKSON, PA wrote 204 Medicare Part D claims totaling $22K in drug costs for 54 beneficiaries.
Where is KODI JACKSON, PA located?
KODI JACKSON, PA is located at 969 LAKELAND DR, JACKSON, MS, 39216. Phone: (601) 200-3631.
What is KODI JACKSON, PA's NPI number?
KODI JACKSON, PA's National Provider Identifier (NPI) is 1588373716, issued on 11/16/2022.
Does KODI JACKSON, PA prescribe more brand-name or generic drugs?
KODI JACKSON, PA's prescribing is 18% brand-name and 82% generic drugs by claim count, with $19K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does KODI JACKSON, PA prescribe most often?
Based on 2023 Medicare Part D data, KODI JACKSON, PA's most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KODI JACKSON, PA accept Medicare?
KODI JACKSON, PA appears in CMS Medicare data with 204 Part D claims and 54 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KODI JACKSON, PA's credentials?
KODI JACKSON, PA's NPI is 1588373716 with credentials PA. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology