DR. MITCHELL ALIN JACKSON (MD) – Ophthalmology Physician, NPI 1902958929

DR. MITCHELL ALIN JACKSON (MD) is a healthcare provider. based in Lake villa, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036083377 (IL). The NPI Number for DR. MITCHELL ALIN JACKSON (MD) is 1902958929

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MITCHELL ALIN JACKSON (MD)
NPI
1902958929
Phone
(847) 356-0700
Address
300 N MILWAUKEE AVE
Enumeration Date
18 January 2007
Last Update Date
9 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8473560700
Graduation Year
1989 (37 years ago)
PAC ID
6406748169
Group Practice PAC ID
3072405737
Professional Enrollment ID
I20040327000088
Address ID
IL600468563LA300XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

960 OPHTHALMOLOGY in IL

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Provider Addresses for DR. MITCHELL ALIN JACKSON (MD)

  • Jacksoneye, 300, North Milwaukee Avenue, Lake Villa, Lake, Illinois, 60046, United States

    SUITE L JACKSONEYE SC

    LAKE VILLA, IL 60046

    Phone: (847) 356-0700

    Fax: (847) 356-0757

    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 276 Open Payments records for all available years, with a total value of $174,423.

Total Amount is formed as General ($174,423) + Research ($0) + Ownership ($0) = $174,423.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($89,507).

Total Amount

$174,423

General + Research + Ownership

Payments

276

Total payment records

General Amount

$174,423

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2022-05-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040327000088IOphthalmologyILTBD
I20220503001847IOphthalmologyWITBD

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
99212Established patient office or other outpatient visit, 10-19 minutes245187$0
66821Removal of recurring cataract in lens capsule using a laser215133$0
66984Removal of cataract with insertion of prosthetic lens172103$0
99213Established patient office or other outpatient visit, 20-29 minutes155107$0
92136Measurement of corneal curvature and depth of eye9682$0
View full utilization report →

Insurance plans in this area (ZIP 60046)

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Provider's Procedures

DR. MITCHELL ALIN JACKSON (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL95004Injection of allergenic extracts into skin, accessed through the skin192032

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: 3072405737View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. MITCHELL ALIN JACKSON (MD)?
The federal identifier for DR. MITCHELL ALIN JACKSON (MD) is NPI 1902958929.
Is DR. MITCHELL ALIN JACKSON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MITCHELL ALIN JACKSON (MD)'s specialty in plain language?
Clinically, the directory lists DR. MITCHELL ALIN JACKSON (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MITCHELL ALIN JACKSON (MD)'s primary listing?
We display Lake Villa, Illinois because that is what the record indicates for DR. MITCHELL ALIN JACKSON (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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