RYAN JACKMAN (M.D.) – Addiction Medicine (Family Medicine) Physician, NPI 1114363942

RYAN JACKMAN (M.D.) is a healthcare provider. based in Denver, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. DR.0054067 (CO). The NPI Number for RYAN JACKMAN (M.D.) is 1114363942

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RYAN JACKMAN (M.D.)
NPI
1114363942
Phone
(720) 848-9000
Address
3055 ROSLYN ST UNIT 100
Enumeration Date
20 May 2013
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9702983801
Graduation Year
2013 (13 years ago)
PAC ID
1456641570
Group Practice PAC ID
3779707856
Professional Enrollment ID
I20160729000922
Address ID
CO815061936GR2643XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Digital endpointsOther names

2,660 FAMILY PRACTICE in CO

Provider Addresses for RYAN JACKMAN (M.D.)

  • 3055 ROSLYN ST UNIT 100

    DENVER, CO 802383324

    Phone: (720) 848-9000

    Fax: (720) 848-9050

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone: (303) 493-7000

    Type: Mailing

  • 2643 PATTERSON RD STE 603

    GRAND JUNCTION, CO 815061937

    Phone: (970) 298-3801

    Fax: (970) 232-2860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-07-29

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
I20160729000922IFamily PracticeCOTBD

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 minutes6232$0
99213Established patient office or other outpatient visit, 20-29 minutes2419$0
View full utilization report →

Insurance plans in this area (ZIP 80238)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779707856View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCO
Internal MedicineTX
Nurse PractitionerCO
-CO
-CO
Cardiovascular Disease (Cardiology)VA
Physician AssistantCO
Physician AssistantWV
Internal MedicineNJ
-CO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify RYAN JACKMAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1114363942 for RYAN JACKMAN (M.D.).
Is RYAN JACKMAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists RYAN JACKMAN (M.D.) as active.
What services align with RYAN JACKMAN (M.D.)'s listing?
RYAN JACKMAN (M.D.)'s public classification highlights Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to RYAN JACKMAN (M.D.)?
The directory associates RYAN JACKMAN (M.D.) with Denver, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains RYAN JACKMAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

DR. ROLLIN VAUGHN ODEN (MD)

Family Medicine Physician
2111, Champa Street, Five Points, Denver, Denver County, Colorado, 80205, United States
NPI: 1245209147

DR. NATHANIEL J MOORE (MD)

Family Medicine Physician
East Iliff Avenue, Aurora, Arapahoe County, Colorado, 80013, United States
NPI: 1275570301

CAROLINE M GELLRICK (MD)

Occupational Medicine Physician
Emergency Dept Patients, East Harvard Avenue, Rosedale, Denver, Denver County, Colorado, 80113-1525, United States
NPI: 1649210329
Kaiser Permanente Highline Behavioral Health Center, 10350, East Dakota Avenue, Denver, Denver County, Colorado, 80247-1314, United States
NPI: 1013084821

THOMAS J MORAN (MD)

Addiction Medicine (Family Medicine) Physician
10350 E DAKOTA AVE
NPI: 1972630903

DR. RICHARD D. ROARK (M.D.)

Addiction Medicine (Family Medicine) Physician
Kaiser Permanente Highline Behavioral Health Center, 10350, East Dakota Avenue, Denver, Denver County, Colorado, 80247-1314, United States
NPI: 1821296872

PATRICK A HUFFER (MD)

Family Medicine Physician
7974 UW HEALTH CT
NPI: 1871851766
2822 E COLFAX AVE
NPI: 1932596889

DR. RICHARD VIGH (MD)

Maternal & Fetal Medicine Physician
8225 FAIRMOUNT DR APT 9-202
NPI: 1255717039