JACKSON WALTER DEERE (MD) – Otolaryngology Physician, NPI 1497311369
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
138 OTOLARYNGOLOGY in IA
Provider Addresses for JACKSON WALTER DEERE (MD)
200 HAWKINS DR DEPT OF
IOWA CITY, IA 522421009
Phone: (319) 356-2201
Fax: (319) 356-4547
Type: Mailing
200 Hawkins Dr Dept Of
Iowa City, IA 522421009
Phone: (319) 356-2201
Fax: (319) 356-4547
Type: Location
2245 N 400 E STE 301
NORTH LOGAN, UT 843411892
Phone: (435) 753-7880
Fax: (435) 753-5845
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $454.
Total Amount is formed as General ($454) + Research ($0) + Ownership ($0) = $454.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($159).
Total Amount
$454
General + Research + Ownership
Payments
14
Total payment records
General Amount
$454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $159 |
| Inspire Medical Systems, Inc. | $111 |
| GENZYME CORPORATION | $60 |
| ABBVIE INC. | $24 |
| AstraZeneca Pharmaceuticals LP | $24 |
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: 2024-07-10
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 |
|---|---|---|---|---|
| I20240710002762 | I | Otolaryngology | UT | 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 52242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | OH | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery | UT |
Reviews
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