ANTHONY KORY JACKSON (MD) – Family Medicine Physician, NPI 1366413114

ANTHONY KORY JACKSON (MD) is a healthcare provider. based in Hutchinson, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 04-30714 (KS). The NPI Number for ANTHONY KORY JACKSON (MD) is 1366413114

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY KORY JACKSON (MD)
NPI
1366413114
Phone
(620) 669-2500
Address
2101 N WALDRON ST
Enumeration Date
30 January 2006
Last Update Date
21 September 2023

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6206692500
Graduation Year
2001 (25 years ago)
PAC ID
2365416278
Group Practice PAC ID
5597658492
Professional Enrollment ID
I20040825000474
Address ID
KS675021131HU2101XSTXX400

Contacts

Secure Messaging
anthonyjackson@hcpa.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,421 FAMILY PRACTICE in KS

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Provider Addresses for ANTHONY KORY JACKSON (MD)

  • North Waldron Street, Hutchinson, Reno County, Kansas, 67504, United States

    HUTCHINSON, KS 675021131

    Phone: (620) 669-2500

    Type: Location

  • 2101 N WALDRON ST

    HUTCHINSON, KS 675021197

    Phone: (620) 669-2500

    Fax: (620) 669-2773

    Type: Mailing

  • 2101, North Waldron Street, Hutchinson, Reno County, Kansas, 67502, United States

    HUTCHINSON, KS 67502

    Phone: (620) 669-2500

    Fax: (620) 669-2773

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $882.

Total Amount is formed as General ($882) + Research ($0) + Ownership ($0) = $882.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($352).

Total Amount

$882

General + Research + Ownership

Payments

67

Total payment records

General Amount

$882

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-08-25

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
I20040825000474IFamily PracticeKSTBD

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
81001Manual urinalysis test with examination using microscope, automated6246$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing3819$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2727$0
80048Blood test, basic group of blood chemicals (calcium, total)2218$0
84443Blood test, thyroid stimulating hormone (tsh)1919$0
View full utilization report →

Insurance plans in this area (ZIP 67502)

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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: 5597658492View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
R H E U M A T O L O G YKS
H E M A T O L O G Y/ O N C O L O G YKS
Physician AssistantKS
-KS
Gastroenterology, Internal MedicineKS
D E R M A T O L O G YKS
Physician AssistantKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

What is the standard ID for ANTHONY KORY JACKSON (MD) in the U.S.?
In the U.S., ANTHONY KORY JACKSON (MD) is identified by NPI 1366413114.
Should I treat ANTHONY KORY JACKSON (MD) as an active provider?
Patients and plans typically see ANTHONY KORY JACKSON (MD) as active in the national extract.
How should patients interpret ANTHONY KORY JACKSON (MD)'s specialty?
The extract shows Family Medicine Physician for ANTHONY KORY JACKSON (MD). Clinical services aligned with this taxonomy classification.
Can patients visit ANTHONY KORY JACKSON (MD) in Hutchinson, Kansas?
For routing, start with Hutchinson, Kansas for ANTHONY KORY JACKSON (MD), then verify phone and hours locally.
Why is information missing for ANTHONY KORY JACKSON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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