Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kyle Jackson , MD, PhD

Surgery โ€ข Philadelphia, PA

Active NPI 1164849352 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3400 Spruce Street, 4 Silverstein
Philadelphia, PA 101044206

Call 2156154949 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

3400 Spruce Street
4 Silverstein

Philadelphia, PA 101044206

Telephone 2156154949
Fax 2156622244
Organization at the Same NPPES Address or Phone
University Of Penn - Medical Group Facility NPI 1093725145

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Children'S Surgical Associates Ltd; University Of Penn - Medical Group. 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

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

2014

Medicare patients

60 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $67,263 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $53,592 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

44 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

$254 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 โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $6,579.48 across 10 records.

By nature of payment

  • Education: $6,000.00 across 4 records.
  • Travel and Lodging: $490.81 across 2 records.
  • Food and Beverage: $88.67 across 4 records.

Reporting-company totals

  • INTUITIVE SURGICAL, INC.: $6,507.80 across 7 records.
  • Boston Scientific Corporation: $40.21 across 2 records.
  • Ethicon Inc.: $31.47 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 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

2014

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, โ€œDoes your provider accept Medicare as full payment?โ€

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 Philadelphia and Pennsylvania

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Surgery in Philadelphia, PA (2024, 157 clinicians with data). Median for this group: 169. Middle half: 85 to 327.

Fewer Medicare Part B services than 80% of clinicians listed under Surgery in Pennsylvania (2024, 813 clinicians with data). Median for this group: 190. Middle half: 97 to 331.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Surgery in Philadelphia, PA (2024, 157 clinicians with data). Median for this group: $27,476. Middle half: $11,496 to $49,147.

A higher Medicare-allowed amount than 85% of clinicians listed under Surgery in Pennsylvania (2024, 813 clinicians with data). Median for this group: $24,514. Middle half: $11,290 to $45,129.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Surgery in Philadelphia, PA (2024, 157 clinicians with data). Median for this group: $21,428. Middle half: $9,080 to $37,429.

A higher Medicare payment amount than 85% of clinicians listed under Surgery in Pennsylvania (2024, 813 clinicians with data). Median for this group: $18,735. Middle half: $8,416 to $35,373.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Surgery in Philadelphia, PA (2024, 103 clinicians with data). Median for this group: 28. Middle half: 16 to 75.

Close to the middle for clinicians listed under Surgery in Pennsylvania (2024, 667 clinicians with data). Median for this group: 47. Middle half: 21 to 102.

Part D drug cost

Close to the middle for clinicians listed under Surgery in Philadelphia, PA (2024, 103 clinicians with data). Median for this group: $236. Middle half: $40 to $1,122.

Close to the middle for clinicians listed under Surgery in Pennsylvania (2024, 667 clinicians with data). Median for this group: $283. Middle half: $68 to $1,463.

440 active clinicians are listed under Surgery with a practice address in Philadelphia, PA (1,872 in Pennsylvania).

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

Telehealth indicator in Philadelphia

10.7% of these 440 clinicians have the CMS telehealth indicator.

42.3% of these 440 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท 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 ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $6,579.48.

Manufacturer Payment Nature Product Type Amount ($)
INTUITIVE SURGICAL, INC.
Education
In-kind items and services
DAVINCI XI General $1,500.00
INTUITIVE SURGICAL, INC.
Education
In-kind items and services
DAVINCI XI General $1,500.00
INTUITIVE SURGICAL, INC.
Education
In-kind items and services
DAVINCI XI General $1,500.00
INTUITIVE SURGICAL, INC.
Education
In-kind items and services
DAVINCI XI General $1,500.00
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $471.81
Ethicon Inc.
Food and Beverage
In-kind items and services
ETHICON General $31.47
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Dreamtome RX 49 General $21.79
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $19.00
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Dreamtome RX 49 General $18.42
INTUITIVE SURGICAL, INC.
Food and Beverage
In-kind items and services
Da Vinci Surgical System General $16.99

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
50360 Transplantation of donor kidney
38 38 $6857.58 $1531.41
50323 Preparation of donor kidney for transplantation
29 29 $1442.86 $282.48
50327 Preparation of donor kidney and veins for transplantation
13 13 $550.38 $67.52

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

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

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 26 106 $91.81 25
Nifedipine Er Nifedipine 14 540 $162.20 โ€”

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: 2024-10-25
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES PA MD485481

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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: Pennsylvania Department of State Licensing.
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 - GENERAL SURGERY

Medicare Enrollment ID

I20240802001911

Enrollment State Jurisdiction

PA

PECOS Control ID

6103044631

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

University Of Penn - Medical Group

3400 Spruce St, Philadelphia, PA 191044238

Phone: 2156154949

Children's Surgical Associates Ltd

3401 Civic Ctr Blvd, Philadelphia, PA 191044319

Phone: 2674259505

Clinicians Sharing This Practice Address or Phone

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

40 listed
NPI 1750708251

Doctor of Medicine (M.D.)

Dr. Michael Acker , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1568494870

Doctor of Medicine (M.D.)

Dr. Srinath Adusumalli , MD

Internal Medicine - Cardiovascular Disease

NPI 1720373418

Doctor of Medicine (M.D.)

Dr. Marietta Ambrose , MD

Internal Medicine - Cardiovascular Disease

NPI 1700085214

Doctor of Medicine (M.D.)

Amy Ambrosini , CRNP

Nurse Practitioner - Adult Health

NPI 1073987228

Certified Registered Nurse Practitioner

Dr. Lawrence Bish , MD

Internal Medicine - Cardiovascular Disease

NPI 1871883603

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
๐Ÿ“
Updated Practice Location October 30, 2024

Registered at 3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 101044206 (Tel: 2156154949)

๐Ÿ“
Updated Business Mailing Address October 30, 2024

Registered at 3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 101044206 (Tel: 2156154949)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2024

Surgery (license number reported to NPPES: PA MD485481)

๐Ÿ“
Updated Practice Location March 21, 2022

Registered at 101 WOODRUFF CIRCLE WMB SUITE 51505, ATLANTA, GA 303222109 (Tel: 8553667989)

๐Ÿ“
Updated Business Mailing Address March 21, 2022

Registered at 101 WOODRUFF CIRCLE WMB SUITE 51505, ATLANTA, GA 303220001 (Tel: 8553667989)

๐Ÿ‘ค
Provider Name / Credentials Updated March 21, 2022

Recorded as KYLE JACKSON, M.D., PH.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2022

Surgery (license number reported to NPPES: GA 91328)

โœ…
NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 23, 2014

Registered at 600 N WOLFE ST TOWER 110, THE JOHNS HOPKINS HOSPITAL, BALTIMORE, MD 212872109 (Tel: 4109555020)

๐Ÿ“
Business Mailing Address (Initial Record) July 23, 2014

Registered at 600 N WOLFE ST TOWER 110, THE JOHNS HOPKINS SCHOOL OF MEDICINE, BALTIMORE, MD 212872109 (Tel: 4109555020)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 23, 2014

Recorded as KYLE JACKSON, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration March 25, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1164849352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2014
Last Update: October 30, 2024
Sole Proprietor: Yes

Other Surgery Specialists in Philadelphia

All Surgery Specialists in Philadelphia

Mailing Address

3400 Spruce Street, 4 Silverstein

Philadelphia, PA 101044206

Phone: 2156154949

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.