JASON TACKETT (D.O.) – Emergency Medicine Physician, NPI 1043326580
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
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Provider Addresses for JASON TACKETT (D.O.)
6400, Atlantic Boulevard, Jacksonville, Duval County, Florida, 32211, United States
JACKSONVILLE, FL 322118768
Phone: (866) 638-5931
Fax: (904) 805-1456
Type: Mailing
Miamisburg Centerville Road, South Dayton, Miamisburg, Montgomery County, Ohio, 45449, United States
DAYTON, OH 454593811
Phone: (800) 514-1494
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2005-06-23
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 |
|---|---|---|---|---|
| I20050623000167 | I | Emergency Medicine | WV | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 130 | 126 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 87 | 85 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 28 | 28 | $0 |
| 99291 | Critical care, first 30-74 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 32211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | WV | |
| Certified Registered Nurse Anesthetist (Crna) | WV | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | WV | |
| Internal Medicine | TN | |
| Emergency Medicine | PA | |
| Family Practice | VA | |
| Nurse Practitioner | WV | |
| Nurse Practitioner | WV | |
| Nurse Practitioner | WV | |
| A N E S T H E S I O L O G Y | WV |
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