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Edit this profileAt a glance
- 11 Ralph Pl, Suite 209, Staten Island, NY 10304
About Dr. Jackson
Based in Staten Island, NY, Keith R. Jackson, M.D. is listed in the NPI registry under dermatology. Keith graduated from State University of New York Downstate Medical Center in 1997. Medicare claims data shows Keith provided 5,593 services to 2,902 patients. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, destruction of precancer skin growth, 2-14 growths, and destruction of skin growth, 1-14 growths. NPI 1124116041 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (718) 727-1331
- Email not available
Practice Locations
11 RALPH PL SUITE 209
Staten Island, NY 10304
Conditions Commonly Evaluated or Treated
Within Dermatology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
Acne and follicular disorders
Eczema and inflammatory skin disease
Infections and infestations
Pigment, growths, and benign lesions
Skin cancer
Urticaria, itch, and vascular
Autoimmune and connective tissue
Infections
Rashes & allergy
Skin growths
Procedures & services
Most searched procedures
Diagnostic procedures
Lesion treatment
- Complex skin lesion excision
- Cryotherapy for skin lesions
- Electrodesiccation and curettage
- Incision and drainage of an abscess
Medical dermatology treatment
Cosmetic
Cosmetic and minor surgery
Cosmetic dermatology
Diagnostic
General dermatology
Infections
Medical dermatology
Nails & hair
Skin cancer surgery
Skin growths
Procedures Most Often Billed to Medicare
5,593 services · 2,902 patients · 18 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Destruction of precancer skin growth, 2-14 growths | Procedure | 17003 |
1,145 | More often than most peers in Dermatology |
| Destruction of skin growth, 1-14 growths | Procedure | 17110 |
807 | More than most peers in Dermatology |
| Destruction of precancer skin growth, 1 growth | Procedure | 17000 |
635 | More often than most peers in Dermatology |
| Destruction of precancer skin growth, 15 or more growths | Procedure | 17004 |
274 | More than most peers in Dermatology |
| Biopsy of related skin growth, first growth | Procedure | 11102 |
273 | More often than most peers in Dermatology |
| Destruction of skin growth, 15 or more growths | Procedure | 17111 |
166 | More than most peers in Dermatology |
| Acne surgery | Procedure | 10040 |
150 | More than most peers in Dermatology |
| Biopsy of related skin growth, each additional growth | Procedure | 11103 |
68 | As often as other peers in Dermatology |
| Simple or single drainage of skin abscess | Procedure | 10060 |
45 | More often than most peers in Dermatology |
| Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm | Procedure | 17263 |
35 | More often than most peers in Dermatology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other dermatologists in Staten Island 8
Same specialty, same city.
Trained at State University of New York Downstate Medical Center 8
Other providers in the same specialty who trained at the same institution.
More connections — 16 related providers in 2 groups
Class of 1997 at State University of New York Downstate Medical Center 8
Providers who graduated from the same medical school in the same year.
Also performs Destruction of precancer skin growth, 2-14 growths 8
Providers in NY who bill this service to Medicare most often.
Common questions
What is Keith R. Jackson's specialty?
Keith R. Jackson is a dermatologist (skin doctor) in Staten Island, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Dermatology”.
NPI registry
Where can I find Keith R. Jackson?
Keith R. Jackson is listed at 11 Ralph Pl Suite 209, Staten Island, NY 10304. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Keith R. Jackson?
The number on file is (718) 727-1331. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for Keith R. Jackson?
Keith R. Jackson's National Provider Identifier is 1124116041. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Keith R. Jackson's education?
Keith R. Jackson attended State University of New York Downstate Medical Center, graduating in 1997. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Keith R. Jackson have?
Keith R. Jackson has 29 years experience. Calculated from a graduation year of 1997, reported in the CMS National Downloadable File.
CMS public data
What is Keith R. Jackson known for?
According to Medicare billing data, Keith R. Jackson performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of skin growth, 1-14 growths and destruction of precancer skin growth, 1 growth, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Keith R. Jackson's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Keith R. Jackson. If this is you, claiming it is free.
Guide.md
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