Physician

James W Jackson, MD

According to 2025 Medicare claims, James Jackson, MD (NPI: 1063583268) practices pain management in the Elizabethtown, KY market, with the plurality of this provider's patient population coming from Hardin, KY. This provider's primary affiliated billing organization is COMMONWEALTH PAIN ASSOCIATES, PLLC (NPI: 1306280177; TIN: 461507241) and primary practice location at 42701-7280.

Jackson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,188 traditional Medicare patients, billed 11,969 HCPCS/CPT codes, and received $553,467 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 9,937 prescription claims across 1,790 beneficiaries totaling $365,041 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). 2018 DME data shows 16 claims. Open Payments data shows 18 records totaling $822. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $943,560 and ending at $553,467. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,077	60,855	$943,560
2016	1,642	50,526	$791,370
2017	2,689	63,620	$1,166,527
2018	1,505	10,230	$460,718
2019	2,484	13,054	$696,026
2020	2,650	16,370	$831,409
2021	2,407	15,881	$959,539
2022	2,078	14,274	$790,027
2023	1,817	12,989	$640,450
2024	1,188	11,969	$553,467

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	796	2,692	$191,496
2016	1,536	6,136	$379,521
2017	2,336	11,422	$609,503
2018	2,728	10,308	$606,424
2019	2,951	13,602	$737,314
2020	2,004	13,904	$545,151
2021	1,755	11,248	$438,439
2022	1,545	9,293	$398,310
2023	1,606	9,948	$391,941
2024	1,790	9,937	$365,041

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	75	75	$72,895
2016	18	18	$17,538
2017	N/R	N/R	N/R
2018	16	16	$16,521
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	396	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	356	447	$56
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	363	412	$12
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	321	2,548	$5
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	254	2,434	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	3,514	103,346	$86,526
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	4,342	126,053	$83,624
Oxycontin	Oxycodone Hcl	77	2,238	$83,009
Percocet	Oxycodone Hcl/Acetaminophen	11	330	$36,577
Oxycodone Hcl	Oxycodone Hcl	666	19,228	$18,002

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$822	SI-BONE, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James W. Jackson, MD?

Tedicare shows public-source Medicare data for James W. Jackson, MD (NPI 1063583268), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James W. Jackson, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James W. Jackson, MD?

James W. Jackson, MD is linked to COMMONWEALTH PAIN ASSOCIATES, PLLC (billing NPI 1306280177) in the available physician profile data.

Does James W. Jackson, MD have Open Payments data?

James W. Jackson, MD has 18 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.