DR. KEVIN T JACKSON (M.D.) – Family Medicine Physician, NPI 1144291907
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,499 FAMILY PRACTICE in AR
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Provider Addresses for DR. KEVIN T JACKSON (M.D.)
CoGo Market District at 3rd Ave, West Third Avenue, Fifth by Northwest, Columbus, Franklin, Ohio, 43212, United States
HARRISON, AR 726011959
Phone: (479) 741-3600
Fax: (870) 741-4482
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 55 Open Payments records for all available years, with a total value of $1,072.
Total Amount is formed as General ($1,072) + Research ($0) + Ownership ($0) = $1,072.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($190).
Total Amount
$1,072
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,072
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $190 |
| Organogenesis Inc. | $107 |
| ABBVIE INC. | $99 |
| PFIZER INC. | $76 |
| AstraZeneca Pharmaceuticals LP | $58 |
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: 2006-06-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060620000066 | I | Family Practice | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 899 | 237 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 800 | 134 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 622 | 258 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 472 | 51 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 260 | 93 | $0 |
Insurance plans in this area (ZIP 72601)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AR | |
| Family Practice | MO | |
| Orthopedic Surgery | AR | |
| N E U R O L O G Y | MO | |
| Internal Medicine | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Physical Therapist In Private Practice | AR | |
| Family Practice | AR | |
| Family Practice | AR |
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