Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Mark K Jackson, MD

Individual provider Diagnostic Radiology Physician · NPI 1063405538

Dr. Mark K Jackson, MD practises Diagnostic Radiology in Oswego, New York. Graduated from Tufts University School of Medicine in 1989, 37 years ago. Practices with Chenango Memorial Hospital Inc, a 109-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Trained at
Tufts University School of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 W 6th St
Oswego, NY 13126-2507 Not confirmed with CMS for 19 years — call before visiting
Phone: (315) 349-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 196101 (NY)

Record details

NPI number1063405538
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESSeptember 13, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Chenango Memorial Hospital Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,117
Services billed 1,830 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Chenango Memorial Hospital Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 109 clinicians in the practice; 12 are shown here.

Other providers in Oswego