Keith Ryan Jackson, M.D.
Dermatology · Staten Island, NY
At a glance
11 Ralph Pl, Staten Island, NY 10304-4419
Published activity: Melanoma (skin cancer) excision · Removal of nail tissue · Removal of skin lesions. View counts and coverage
NPPES record updated May 28, 2013. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
11 Ralph Pl Suite 209Staten Island, NY 10304-4419
Education & affiliations
- Medical / professional school
- State University Of New York Downstate Medical Center
- Graduation year
- 1997
- CMS specialties
- Dermatology
Reported hospital affiliations
- Mountain Lakes Medical Center Clayton, GA
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal of skin lesions | 2731 |
| Skin biopsy | 335 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Reported clinician measures
Measures below describe reported clinician performance in the stated period. They do not form an overall HCPList rating, and reporting differs between clinicians.
Published clinical measures
- Advance Care Plan
- 100%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_047_overall. Collection type: REG. Measure denominator: 1510.
Source: PY 2024 Clinician Public Reporting: MIPS Measures and Attestations · Published Sep 10, 2026.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $358.61 |
Reporting companies
| Company | Amount |
|---|---|
| UCB, INC. | $115.47 |
| AMGEN INC. | $111.48 |
| JANSSEN BIOTECH, INC. | $37.38 |
| REGENERON HEALTHCARE SOLUTIONS, INC. | $30.19 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $26.97 |
| INCYTE CORPORATION | $22.71 |
| ABBVIE INC. | $14.41 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Dermatology
- Taxonomy code
- 207N00000X
- Enumeration date
- Oct 10, 2006
- Record updated
- May 28, 2013
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- M.D.
Reported taxonomies and licenses
207N00000X · Primary
License reported: 212165 NY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11 Ralph PlSuite 209
Staten Island, NY 10304-4419
- Phone
- (718) 727-1331
- Fax
- (718) 727-2159
Mailing address
11 RALPH PLSUITE 209
STATEN ISLAND, NY 103044419
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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