DR. MICHELLE JACKSON (MD) – Procedural Dermatology Physician, NPI 1184846529

DR. MICHELLE JACKSON (MD) is a healthcare provider. based in Oceanside, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A102012 (CA). The NPI Number for DR. MICHELLE JACKSON (MD) is 1184846529

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE JACKSON (MD)
NPI
1184846529
Phone
(760) 758-5340
Address
3613 VISTA WAY
Enumeration Date
3 May 2007
Last Update Date
29 August 2012

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7609421311
Graduation Year
2006 (20 years ago)
PAC ID
3870759087
Group Practice PAC ID
7315849981
Professional Enrollment ID
I20120716000295
Address ID
CA920242475EN1200XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for DR. MICHELLE JACKSON (MD)

  • 3613, Vista Way, Oceanside, San Diego County, California, 92010, United States

    OCEANSIDE, CA 920564522

    Phone: (760) 758-5340

    Fax: (760) 758-5502

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 206 Open Payments records for all available years, with a total value of $4,650.

Total Amount is formed as General ($4,650) + Research ($0) + Ownership ($0) = $4,650.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,090).

Total Amount

$4,650

General + Research + Ownership

Payments

206

Total payment records

General Amount

$4,650

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120716000295IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg12,20050$0
88305Pathology examination of tissue using a microscope, intermediate complexity5,8282,864$0
17003Destruction of precancer skin growth, 2-14 growths1,884275$0
99213Established patient office or other outpatient visit, 20-29 minutes920595$0
17000Destruction of precancer skin growth, 1 growth485349$0
View full utilization report →

Insurance plans in this area (ZIP 92056)

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Provider's Procedures

DR. MICHELLE JACKSON (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA11101Biopsy of each additional growth of skin and/or tissue335151
DERMATOLOGYCA17003Destruction of 2-14 skin growths1687292
DERMATOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity130114
DERMATOLOGYCA88312Special stained specimen slides to identify organisms including interpretation and report7156
DERMATOLOGYCA88342Tissue or cell analysis by immunologic technique145126

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315849981View full group profile
NameSpecialtyState
Physician AssistantCA
D E R M A T O L O G YOH
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YFL
Dermatology, PathologyCA
D E R M A T O L O G YCA
Physician AssistantCA
General Practice, Radiation Oncology, General PracticeCA
D E R M A T O L O G YUT

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MICHELLE JACKSON (MD)?
NPI 1184846529 is assigned to DR. MICHELLE JACKSON (MD) under the national enumeration system.
Is DR. MICHELLE JACKSON (MD) active in the national directory?
DR. MICHELLE JACKSON (MD)'s public NPI profile is in an active state.
What field does DR. MICHELLE JACKSON (MD) work in?
You can think of DR. MICHELLE JACKSON (MD) as practicing within Procedural Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MICHELLE JACKSON (MD)?
The page summarizes Oceanside, California for DR. MICHELLE JACKSON (MD); expand the address list for detail.
Is DR. MICHELLE JACKSON (MD) a real provider?
This page reflects official NPPES data for NPI 1184846529. Always confirm identity and privileges with the practice and licensing boards.

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