MR. KEVIN LEE JACKSON (MD) – Internal Medicine Physician, NPI 1316938517

MR. KEVIN LEE JACKSON (MD) is a healthcare provider. based in Opelika, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 6757 (AL). The NPI Number for MR. KEVIN LEE JACKSON (MD) is 1316938517

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN LEE JACKSON (MD)
NPI
1316938517
Phone
(334) 821-6300
Address
2430 VILLAGE PROFESSIONAL DR
Enumeration Date
4 November 2005
Last Update Date
26 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3348216300
Graduation Year
1980 (46 years ago)
PAC ID
0345382032
Professional Enrollment ID
I20100119000184
Address ID
AL368012378OP2430XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

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Provider Addresses for MR. KEVIN LEE JACKSON (MD)

  • Village Professional Drive, Harwell Hills, Opelika, Lee County, Alabama, 36801, United States

    OPELIKA, AL 368012378

    Phone: (334) 821-6300

    Fax: (334) 821-1849

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $422.

Total Amount is formed as General ($422) + Research ($0) + Ownership ($0) = $422.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Astellas Pharma US Inc ($108).

Total Amount

$422

General + Research + Ownership

Payments

20

Total payment records

General Amount

$422

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100119000184IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes368214$0
99213Established patient office or other outpatient visit, 20-29 minutes296203$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit259259$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month20229$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14845$0
View full utilization report →

Insurance plans in this area (ZIP 36801)

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Provider's Procedures

MR. KEVIN LEE JACKSON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAL82270Stool analysis for blood to screen for colon tumors195195
INTERNAL MEDICINEAL83036Hemoglobin A1C level373199

Reviews

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Frequently asked questions

Is there an official ID for MR. KEVIN LEE JACKSON (MD) in U.S. healthcare records?
The official identifier for MR. KEVIN LEE JACKSON (MD) is NPI 1316938517.
Is MR. KEVIN LEE JACKSON (MD) still an active registrant?
MR. KEVIN LEE JACKSON (MD) carries an active NPI according to the public dataset.
How would a patient describe MR. KEVIN LEE JACKSON (MD)'s focus?
For MR. KEVIN LEE JACKSON (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. KEVIN LEE JACKSON (MD)?
Travel planning: use Opelika, Alabama as the reference point for MR. KEVIN LEE JACKSON (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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