ARABA AMONU JACKSON (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1669821401
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,540 OBSTETRICS/GYNECOLOGY in FL
Provider Addresses for ARABA AMONU JACKSON (M.D.)
17 DAVIS BLVD STE 308
TAMPA, FL 336063438
Phone: (813) 974-2201
Type: Mailing
2800 S SHIRLINGTON RD STE 706
ARLINGTON, VA 222063602
Phone: (571) 777-2430
Type: Mailing
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 $2,991.
Total Amount is formed as General ($2,991) + Research ($0) + Ownership ($0) = $2,991.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,319).
Total Amount
$2,991
General + Research + Ownership
Payments
19
Total payment records
General Amount
$2,991
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,319 |
| Axonics, Inc. | $1,198 |
| COLOPLAST CORP | $473 |
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: 2025-07-21
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 |
|---|---|---|---|---|
| I20231030001706 | I | Obstetrics/Gynecology | DC | TBD |
| I20250721000389 | I | Obstetrics/Gynecology | VA | 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 |
|---|---|---|---|---|
| 51798 | Ultrasound measurement of bladder capacity after voiding | 27 | 26 | $0 |
| 81003 | Automated urinalysis test | 19 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 33606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
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