DR. ROBERT SEAN JACKSON (M.D.) – Orthopaedic Surgery Physician, NPI 1174551808

DR. ROBERT SEAN JACKSON (M.D.) is a healthcare provider. based in Kansas city, Kansas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 04-2105 (KS). The NPI Number for DR. ROBERT SEAN JACKSON (M.D.) is 1174551808

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT SEAN JACKSON (M.D.)
NPI
1174551808
Phone
(913) 588-6100
Address
3901 RAINBOW BLVD,
Enumeration Date
29 June 2006
Last Update Date
23 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9135881227
Graduation Year
1993 (33 years ago)
PAC ID
4688695224
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20080408000566
Address ID
KS661608501KA4000XSTXX320
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

324 ORTHOPEDIC SURGERY in KS

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Provider Addresses for DR. ROBERT SEAN JACKSON (M.D.)

  • 3901, Rainbow Boulevard, Rosedale, Kansas City, Wyandotte County, Kansas, 66160, United States

    MS#3017 UNIVERSITY OF KANSAS MEDICAL CENTER

    KANSAS CITY, KS 661600000

    Phone: (913) 588-6100

    Fax: (913) 588-8186

    Type: Mailing

  • University of Kansas Medical Center, 3901, Rainbow Boulevard, Kansas City, Wyandotte County, Kansas, 66160, United States

    UNIVERSITY OF KANSAS MEDICAL CENTER

    KANSAS CITY, KS 661600000

    Phone: (913) 588-6100

    Fax: (913) 588-8186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Globus Medical, Inc. ($170).

Total Amount

$170

General + Research + Ownership

Payments

2

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Globus Medical, Inc.$170
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: 2008-04-08

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
I20080408000566IOrthopedic SurgeryKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6257$0
99213Established patient office or other outpatient visit, 20-29 minutes6054$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment3333$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment2818$0
View full utilization report →

Insurance plans in this area (ZIP 66160)

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Provider's Procedures

DR. ROBERT SEAN JACKSON (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYKS22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments2222
ORTHOPEDIC SURGERYKS63048Partial removal of spine bone with release of spinal cord and/or nerves6535

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: 8921911587View full group profile

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Frequently asked questions

Can I cross-check DR. ROBERT SEAN JACKSON (M.D.) using NPI 1174551808?
NPI 1174551808 belongs to DR. ROBERT SEAN JACKSON (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. ROBERT SEAN JACKSON (M.D.)?
You should see DR. ROBERT SEAN JACKSON (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. ROBERT SEAN JACKSON (M.D.)?
DR. ROBERT SEAN JACKSON (M.D.)'s record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. ROBERT SEAN JACKSON (M.D.) associated with Kansas City?
Public fields place DR. ROBERT SEAN JACKSON (M.D.) around Kansas City, Kansas. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. ROBERT SEAN JACKSON (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.