THOMAS MILES JACKSON (MD) – Surgery Physician, NPI 1598765083
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 GENERAL SURGERY in CO
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Provider Addresses for THOMAS MILES JACKSON (MD)
Arkansas Valley Regional Medical Center, 1100, Carson Avenue, La Junta, Otero County, Colorado, 81050, United States
LA JUNTA, CO 810502751
Phone: (719) 383-5142
Fax: (719) 383-5140
Type: Mailing
San Juan Avenue, La Junta, Otero County, Colorado, 81050, United States
LA JUNTA, CO 810503323
Phone: (719) 384-8181
Fax: (719) 384-4872
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Amgen Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $19 |
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: 2010-08-11
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 |
|---|---|---|---|---|
| I20100811000358 | I | General Surgery | CO | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 81050)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | CO | 45378 | Diagnostic examination of large bowel using an endoscope | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| - | CO | |
| - | OH | |
| - | AL | |
| Physician Assistant | CO | |
| Emergency Medicine | CO | |
| Nurse Practitioner | CO | |
| - | CA | |
| - | - |
Reviews
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