JON RYAN JACKSON (M.D.) – Plastic Surgery Physician, NPI 1740254978
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
474 PLASTIC AND RECONSTRUCTIVE SURGERY in FL
Provider Addresses for JON RYAN JACKSON (M.D.)
1890 SW HEALTH PKWY
SUITE 301
NAPLES, FL 341090473
Phone: (239) 598-9009
Fax: (239) 598-5009
Type: Mailing
4500 EXECUTIVE DR STE 300
NAPLES, FL 341198908
Phone: (239) 598-9009
Fax: (239) 598-5009
Type: Mailing
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.
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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: 2005-09-15
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 |
|---|---|---|---|---|
| I20050915000147 | I | Plastic And Reconstructive Surgery | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 318 | 204 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 235 | 201 | $0 |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 206 | 167 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 146 | 126 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 124 | 124 | $0 |
Insurance plans in this area (ZIP 34109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL |
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