DR. CHARLES ANDREW JACKSON (M.D.) – Family Medicine Physician, NPI 1720003247
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,499 FAMILY PRACTICE in AR
Provider Addresses for DR. CHARLES ANDREW JACKSON (M.D.)
2263 HWY 65 NORTH
MARSHALL, AR 72650
Phone:
Type: Mailing
Milliard-Henry Clinic, 101, Skyline Drive, Norristown, Russellville, Pope County, Arkansas, 72801, United States
RUSSELLVILLE, AR 728013363
Phone: (479) 968-2345
Fax: (479) 890-2497
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $139.
Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: PALETTE LIFE SCIENCES, INC. ($108).
Total Amount
$139
General + Research + Ownership
Payments
3
Total payment records
General Amount
$139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PALETTE LIFE SCIENCES, INC. | $108 |
| Alkermes, Inc. | $18 |
| AstraZeneca Pharmaceuticals LP | $13 |
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: 2009-12-22
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 |
|---|---|---|---|---|
| I20091222000660 | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 36 | 26 | $0 |
| 71046 | X-ray of chest, 2 views | 23 | 17 | $0 |
| 82043 | Urine microalbumin (protein) level | 21 | 18 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 17 | 16 | $0 |
Insurance plans in this area (ZIP 72650)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AR | 90670 | Pneumococcal vaccine for injection into muscle | 55 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR |
Reviews
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