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Dr. Tedroy Mevrick Jackson , MD

Internal Medicine β€’ Cincinnati, OH

Active NPI 1356091490 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2123 Auburn Ave Ste 235
Cincinnati, OH 452192906

Call 5135853238 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2123 Auburn Ave Ste 235

Cincinnati, OH 452192906

Telephone 5135853238
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: South Sound Inpatient Physicians Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

30-day fills

508 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$32,414 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $118.61 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cincinnati and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Internal Medicine in Cincinnati, OH (2024, 348 clinicians with data). Median for this group: 1,977. Middle half: 178 to 5,162.

Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Ohio (2024, 3,362 clinicians with data). Median for this group: 883. Middle half: 119 to 5,445.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Internal Medicine in Cincinnati, OH (2024, 348 clinicians with data). Median for this group: $160,991. Middle half: $9,924 to $414,544.

Close to the middle for clinicians listed under Internal Medicine in Ohio (2024, 3,362 clinicians with data). Median for this group: $79,160. Middle half: $4,027 to $440,452.

566 active clinicians are listed under Internal Medicine with a practice address in Cincinnati, OH (5,283 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

13.6% of these 566 clinicians have the CMS telehealth indicator.

59.4% of these 566 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $118.61.

Manufacturer Payment Nature Product Type Amount ($)
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
CAMZYOS General $118.61

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 33 2,243 $252.47 β€”
Losartan Potassium Losartan Potassium 31 2,016 $188.25 β€”
Pantoprazole Sodium Pantoprazole Sodium 30 1,611 $132.35 β€”
Amlodipine Besylate Amlodipine Besylate 26 2,070 $116.73 β€”
Trulicity Dulaglutide 25 703 $23,748.17 β€”
Duloxetine Hcl Duloxetine Hcl 18 1,470 $377.45 β€”
Rosuvastatin Calcium Rosuvastatin Calcium 18 1,380 $112.44 β€”
Chlorthalidone Chlorthalidone 15 636 $148.06 β€”
Metoprolol Succinate Metoprolol Succinate 13 1,170 $95.51 β€”
Albuterol Sulfate Hfa Albuterol Sulfate 13 312 $362.81 β€”
Metoprolol Tartrate Metoprolol Tartrate 12 366 $26.49 β€”
Methocarbamol Methocarbamol 12 234 $113.31 β€”
Alcohol Swabs Alcohol Antiseptic Pads 12 300 $34.10 β€”
Spiriva Respimat Tiotropium Bromide 11 390 $6,705.98 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-10
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES WA MD61645378

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES WA MD.MD.61645378

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20250728003207

Enrollment State Jurisdiction

WA

PECOS Control ID

2668851601

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

South Sound Inpatient Physicians Pllc

407 14th Ave Se, Puyallup, WA 983723770

Phone: 2536974000

South Sound Inpatient Physicians Pllc

1415 E Kincaid St, Mount Vernon, WA 982744126

Phone: 3604244111

South Sound Inpatient Physicians Pllc

330 S Stillaguamish Ave, Arlington, WA 982231642

Phone: 3604352133

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

35 listed
NPI 1831509819

Doctor of Medicine (M.D.)

Dr. Jennifer Bain , MD

Family Medicine

NPI 1285610709

Doctor of Medicine (M.D.)

NPI 1467418921

Doctor of Medicine (M.D.)

NPI 1285618074

Doctor of Medicine (M.D.)

Dr. Sean Boyle , DO

Family Medicine

NPI 1992025969

Doctor of Osteopathic Medicine (D.O.)

Dr. Jonas Butler , DO

Student in an Organized Health Care Education/Training Program

NPI 1467030874

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2026

Internal Medicine (license number reported to NPPES: WA MD61645378)

βœ…
NPI Profile Active March 23, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 23, 2022

Registered at 2123 AUBURN AVE STE 235, CINCINNATI, OH 452192906 (Tel: 5135853238)

πŸ“
Business Mailing Address (Initial Record) March 23, 2022

Registered at 2123 AUBURN AVE STE 340, CINCINNATI, OH 452192906

πŸ‘€
Provider Name / Credentials (Initial Record) March 23, 2022

Recorded as TEDROY JACKSON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 23, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356091490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2022
Last Update: June 10, 2026
Sole Proprietor: No

Other Internal Medicine Providers in Cincinnati

All Internal Medicine Providers in Cincinnati

Mailing Address

2123 Auburn Ave Ste 340

Cincinnati, OH 452192906

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.