MARK F JACKSON (M.D.) – Addiction Medicine (Anesthesiology) Physician, NPI 1255470209
Addiction Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARK F JACKSON (M.D.)
4881 NW 8TH AVE
SUITE 2
GAINESVILLE, FL 326054582
Phone: (352) 416-1082
Fax: (352) 373-6144
Type: Mailing
3930 US 1 S
SAINT AUGUSTINE, FL 320867089
Phone: (352) 283-3568
Fax: (904) 217-3081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $22,439.
Total Amount is formed as General ($22,439) + Research ($0) + Ownership ($0) = $22,439.
Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Lilly USA, LLC ($22,355).
Total Amount
$22,439
General + Research + Ownership
Payments
19
Total payment records
General Amount
$22,439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $22,355 |
| Janssen Biotech, Inc. | $43 |
| Sun Pharmaceutical Industries Inc. | $41 |
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: 2021-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191114002755 | I | Addiction Medicine | FL | TBD |
| I20211227000466 | I | Anesthesiology | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| R H E U M A T O L O G Y | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| Hospitalist, Internal Medicine | IL | |
| Internal Medicine | FL | |
| P O D I A T R Y | NY | |
| Physical Medicine And Rehabilitation | FL | |
| - | FL | |
| - | FL |
Reviews
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