Keith Ryan Jackson, M.D.
NPI 1124116041ActiveIndividual· Dermatology· Staten Island, NY
Dermatology (M.D.) in Staten Island, New York, trained at State University of New York Downstate Medical Center (class of 1997). 814 Medicare patients in 2024, $372,460 paid; nearly all of their 1,714 Part D prescriptions were generic (97%). Ucb, Inc. was the largest of 7 companies reporting payments in 2025, $358.61 in all, mostly food and beverage.
Overview
| NPI | 1124116041 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2006 |
| Last updated in NPPES | May 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 212165 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 814 |
|---|---|
| Services billed | 5,704 across 45 procedure codes |
| Paid by Medicare | $372,460 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,714 · 1,840 30-day fills |
|---|---|
| Patients | 615 |
| Total drug cost | $336,961 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | State University of New York Downstate Medical Center |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Dermatology |
Hospital affiliation
- Mountain Lakes Medical CenterClayton, GA
Industry payments (Open Payments)
- 2025$358.61 · 17 payments from 7 companies
- 2024$587.64 · 15 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $115.47 | 6 |
| Amgen Inc. | $111.48 | 5 |
| Janssen Biotech, Inc. | $37.38 | 2 |
| Regeneron Healthcare Solutions, Inc. | $30.19 | 1 |
| Novartis Pharmaceuticals Corporation | $26.97 | 1 |
What the 2025 payments were for
- Food and Beverage$358.61 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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