DR. MICHAEL DONIEL JACKSON (M.D) – Physical Medicine & Rehabilitation Physician, NPI 1659590735
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
58 SPORTS MEDICINE in IA
Provider Addresses for DR. MICHAEL DONIEL JACKSON (M.D)
2910 Westown Pkwy Ste 200
West Des Moines, IA 502661332
Phone: (515) 223-7773
Fax: (402) 939-0407
Type: Location
6151 THORNTON AVE.
SUITE 200
DES MOINES, IA 503212413
Phone: (515) 421-4090
Fax: (402) 939-0407
Type: Mailing
205 WABASHA ST S
SAINT PAUL, MN 551071805
Phone: (952) 967-5584
Type: Location
2910 WESTOWN PKWY STE 200
WEST DES MOINES, IA 502661332
Phone: (515) 223-7773
Fax: (402) 939-0407
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,901.
Total Amount is formed as General ($1,901) + Research ($0) + Ownership ($0) = $1,901.
Last reported payment date: 2024-02-16 • Largest payer in this snapshot: Prism Medical ($1,165).
Total Amount
$1,901
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,901
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Prism Medical | $1,165 |
| Arthrex, Inc. | $723 |
| SANOFI-AVENTIS U.S. LLC | $13 |
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: 2024-09-05
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 |
|---|---|---|---|---|
| I20070614000536 | I | Physical Medicine And Rehabilitation | IA | TBD |
| I20240905003355 | I | Physical Medicine And Rehabilitation | MN | 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 |
|---|---|---|---|---|
| 76881 | Complete ultrasound scan of joint | 33 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 50266)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | IA | 73562 | X-ray of knee, 3 views | 19 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
Reviews
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