ANITA CAL JACKSON (M.D.) – Adult Medicine Physician, NPI 1063519486
Adult Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for ANITA CAL JACKSON (M.D.)
25109 Jefferson Ave Ste 100
Murrieta, CA 925628117
Phone: (951) 674-1505
Fax: (888) 379-5708
Type: Location
31736 Mission Trl Ste G
Lake Elsinore, CA 925304533
Phone: (951) 674-1505
Fax: (951) 245-6397
Type: Location
27555 Ynez Rd Ste 105
Temecula, CA 925914677
Phone: (951) 694-4688
Fax: (888) 827-3492
Type: Location
1545, West Florida Avenue, Hemet, Riverside County, California, 92543, United States
HEMET, CA 925433814
Phone: (951) 791-1111
Fax: (888) 856-3893
Type: Mailing
44274 GEORGE CUSHMAN CT STE 212
TEMECULA, CA 925925945
Phone: (951) 694-4688
Fax: (888) 827-3492
Type: Location
27555 YNEZ RD STE 105
TEMECULA, CA 925914677
Phone: (951) 694-4688
Fax: (888) 827-3492
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,393.
Total Amount is formed as General ($1,393) + Research ($0) + Ownership ($0) = $1,393.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($190).
Total Amount
$1,393
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,393
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kowa Pharmaceuticals America, Inc. | $190 |
| GlaxoSmithKline, LLC. | $127 |
| ABBVIE INC. | $105 |
| Abbott Laboratories | $104 |
| Merck Sharp & Dohme LLC | $75 |
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: 2005-03-11
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 |
|---|---|---|---|---|
| I20050311000599 | I | Family Practice | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 315 | 140 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 45 | 45 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 40 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 92562)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| - | CA | |
| Family Practice, Internal Medicine | CA | |
| Internal Medicine | CA |
Reviews
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