M DAVID JACKSON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1730177296

M DAVID JACKSON (MD) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 4301048803 (MI). The NPI Number for M DAVID JACKSON (MD) is 1730177296

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
M DAVID JACKSON (MD)
NPI
1730177296
Phone
(248) 893-3220
Address
6676 SOLUTIONS CTR
Enumeration Date
10 October 2005
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2488933200
Graduation Year
1987 (39 years ago)
PAC ID
4385535673
Group Practice PAC ID
3870484116
Professional Enrollment ID
I20100827000467
Address ID
MI483772982NO28455RDXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

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Provider Addresses for M DAVID JACKSON (MD)

  • 6676 SOLUTIONS CTR

    CHICAGO, IL 606776006

    Phone: (248) 893-3220

    Fax: (248) 893-2951

    Type: Mailing

  • 28455, Haggerty Road, Novi, Oakland County, Michigan, 48377, United States

    SUITE 200

    NOVI, MI 483772982

    Phone: (248) 893-3200

    Fax: (248) 893-2950

    Type: Location

  • 28455 HAGGERTY RD STE 200

    NOVI, MI 483772982

    Phone: (248) 893-3200

    Fax: (248) 893-2950

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($245).

Total Amount

$463

General + Research + Ownership

Payments

18

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100827000467IPhysical Medicine And RehabilitationMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes327139$0
99214Established patient office or other outpatient visit, 30-39 minutes4938$0
97811Acupuncture, each additional 15 minutes4613$0
97810Acupuncture, initial 15 minutes2313$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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Provider's Procedures

M DAVID JACKSON (MD) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOMI20610Aspiration and/or injection of large joint or joint capsule3421

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870484116View full group profile
NameSpecialtyState
General Practice, Geriatric MedicineMI
-MI
-MI
Nurse PractitionerMI
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Nurse PractitionerIL
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does M DAVID JACKSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — M DAVID JACKSON (MD) uses 1730177296.
Does CMS list M DAVID JACKSON (MD) as active?
Yes — M DAVID JACKSON (MD) is active in the NPI listing used on this page.
What healthcare role does M DAVID JACKSON (MD) hold?
Scheduling teams often label M DAVID JACKSON (MD) under Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where is M DAVID JACKSON (MD) based?
M DAVID JACKSON (MD) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about M DAVID JACKSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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