ALLEN THOMAS JACKSON (MD) – Ophthalmology Physician, NPI 1932151479
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,552 OPHTHALMOLOGY in FL
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Provider Addresses for ALLEN THOMAS JACKSON (MD)
1201, South Ridgewood Avenue, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321146123
Phone: (386) 492-7718
Fax: (386) 492-7720
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($107).
Total Amount
$107
General + Research + Ownership
Payments
4
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $107 |
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: 2010-06-16
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 |
|---|---|---|---|---|
| I20100616000151 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 68761 | Closure of tear duct opening using plug | 274 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 68 | $0 |
| 92250 | Photography of the retina | 133 | 86 | $0 |
| 92083 | Exam of visual field with extended testing | 81 | 58 | $0 |
Insurance plans in this area (ZIP 32114)
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