Theodore A. Jackson, M.D.
Plastic Surgery Physician · Charleston, WV
Theodore A. Jackson, M.D. is a plastic surgery physician with a practice address in Charleston, West Virginia, and NPI 1942294376, issued on Aug 31, 2005. Check the license (West Virginia 13531, as entered in NPPES) on the West Virginia Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Theodore A. Jackson
- Credential
- M.D.
- Primary taxonomy
- Plastic Surgery Physician 208200000X
- License number
- 13531 WV
Self-reported in NPPES; status is on the state search - Practice location
- 1306 Kanawha Blvd E, Charleston, WV 25301
- Phone
- (304) 342-1113
- Enumerated
- Aug 31, 2005
- Record last updated
- Mar 12, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (304) 346-2271
- Medicaid ID
- 0051155000 WV
- Medicare enrollment
- Enrolled (PECOS I20111123000276); accepts Medicare assignment
- Medical or professional school
- West Virginia University School Of Medicine, 1982
- Entity
- Type 1 · individual
8 nearest plastic surgery physician records → All 22 in West Virginia → Look up another NPI →
Also registered at 1306 Kanawha Blvd E
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Susan ArbogastPhysical Therapist1932506102
- Rita Casingal, CRNAAnesthesiology Physician1407803802
- Cory Frame, RNFARegistered Nurse First Assistant1588084909
- Richard Francis, MDOphthalmology Physician1518169663
- Anthony GrayRegistered Nurse First Assistant1649780768
- Charity Hix, MDOphthalmology Physician1780609677
Verify Theodore A. Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWest Virginia Board of Medicine
Search for license 13531Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.5 times the Medicare Part D claims of the average plastic surgery physician in 2024
330 Medicare Part D claims for 226 beneficiaries, against an average of 93 among the 3,527 providers of this specialty who prescribed in Part D. 203 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen200 claims
- Cephalexin30 claims
- Amoxicillin-Clavulanate Potass28 claims
- Ondansetron Odt14 claims
- Fluorouracil11 claims
- Sulfamethoxazole-Trimethoprim11 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): 0 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: $61.00
2 payments; by number, the most common kind was food and beverage; the largest payer was Takeda Pharmaceuticals U.S.A., Inc. The 3,683 providers of this specialty with any payment received $5,316.31 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.
Bills Medicare through one group practice
- Hans Lee MD IncCharleston, WV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Theodore A. Jackson among 22 plastic surgery physician records in West Virginia
Theodore A. Jackson, M.D. is one of 22 plastic surgery physician records with a practice address in West Virginia. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 77% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated1982 · median 2001 among the 13 with a school on file
- Record last updated2009 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208200000X and a West Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Plastic Surgery Physician providers in West Virginia
There are 22 plastic surgery physician records in West Virginia.
All 22 in West Virginia → Every provider in Charleston → Plastic Surgery Physician nationwide →
The 8 plastic surgery physician records with the nearest ZIP codes
- Jason Prigozen, M.D.Charleston, WV 253011386889707
- Fred Pulido, M.D.Charleston, WV 253011114986031
- William Stewart, MDCharleston, WV 253011447257035
- Daniel Stewart, MDCharleston, WV 253011760448195
- Taylor Summers, PA-CCharleston, WV 253011093316184
- Donald Sweitzer, MDCharleston, WV 253011356427496
- Jeffrey Thaxton, MDCharleston, WV 253011689755472
- William Wood, MDCharleston, WV 253011285853036
Common questions
What is Theodore A. Jackson, M.D.'s NPI number?
Theodore A. Jackson, M.D.'s National Provider Identifier (NPI) is 1942294376, issued on Aug 31, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Theodore A. Jackson, M.D. located?
The NPPES record lists a practice address at 1306 Kanawha Blvd E, Charleston, WV, 25301. Phone: (304) 342-1113. Providers update this record themselves, so call before visiting.
How can I verify Theodore A. Jackson, M.D.'s license?
NPPES lists West Virginia license number 13531, as entered by the provider. Search the West Virginia Board of Medicine at https://wvbom.wv.gov/public/search/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Theodore A. Jackson, M.D. prescribe under Medicare Part D?
In 2024, Theodore A. Jackson, M.D. had 330 Medicare Part D claims for 226 beneficiaries; the average among plastic surgery physician prescribers was 93. Part D covers Medicare prescriptions only.
What is Theodore A. Jackson, M.D.'s MIPS final score?
The 2023 MIPS final score is 0 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.