JAMES MARK JACKSON (MD) – Dermatology Physician, NPI 1205830007
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
Provider Addresses for JAMES MARK JACKSON (MD)
265 Quartermaster Ct
Jeffersonville, IN 471303669
Phone: (812) 932-2387
Fax: (812) 284-0159
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (866) 630-9882
Fax: (920) 682-5810
Type: Mailing
501, South 2nd Street, Louisville, Jefferson County, Kentucky, 40202, United States
LOUISVILLE, KY 402021864
Phone: (502) 583-7546
Fax: (502) 589-3429
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 131 Open Payments records for all available years, with a total value of $55,271.
Total Amount is formed as General ($54,001) + Research ($1,270) + Ownership ($0) = $55,271.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($13,878).
Total Amount
$55,271
General + Research + Ownership
Payments
131
Total payment records
General Amount
$54,001
General payments
Research Amount
$1,270
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $13,878 |
| PFIZER INC. | $12,928 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $12,330 |
| Arcutis Biotherapeutics, Inc. | $6,893 |
| UCB, Inc. | $5,093 |
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: 2021-06-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101214000380 | I | Dermatology | KY | TBD |
| I20210617001383 | I | Dermatology | IN | 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 | 461 | 397 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 295 | 198 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 195 | 158 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 187 | 46 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 103 | 42 | $0 |
Insurance plans in this area (ZIP 47130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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