DR. MARIKA LAUREN COLLYMORE JACKSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1821672817
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 PODIATRY in FL
Provider Addresses for DR. MARIKA LAUREN COLLYMORE JACKSON (DPM)
630 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 322503814
Phone: (904) 323-0954
Type: Mailing
160 NW 170TH ST
NORTH MIAMI BEACH, FL 331695521
Phone: (305) 651-1100
Type: Mailing
1611 NW 12TH AVE
MIAMI, FL 331361005
Phone: (305) 651-1100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,669.
Total Amount is formed as General ($1,669) + Research ($0) + Ownership ($0) = $1,669.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Stryker Corporation ($886).
Total Amount
$1,669
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,669
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $886 |
| BIOTISSUE HOLDINGS INC. | $152 |
| Bioventus LLC | $150 |
| Musculoskeletal Transplant Foundation Inc. | $150 |
| Averitas Pharma Inc. | $122 |
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: 2024-07-25
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 |
|---|---|---|---|---|
| I20240725002974 | I | Podiatry | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32250)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | NJ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| P O D I A T R Y | NJ | |
| P O D I A T R Y | NY |
Reviews
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