MARK JACKSON (P.A.) – Physician Assistant, NPI 1205815982
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
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Provider Addresses for MARK JACKSON (P.A.)
Pikeville Post Office, Big Daddy's Road, Pikeville, Wayne County, North Carolina, 27863, United States
PIKEVILLE, KY 415022917
Phone: (606) 218-1000
Type: Mailing
South Bypass Road, Pikeville, Pike County, Kentucky, 41501, United States
6TH FLOOR CLINIC
PIKEVILLE, KY 415011689
Phone: (606) 218-1000
Fax: (606) 218-7506
Type: Location
911 BYPASS RD BLDG A
PIKEVILLE, KY 415011689
Phone: (606) 430-2206
Fax: (606) 218-7506
Type: Location
PO BOX 432
PIKEVILLE, KY 415020432
Phone: (606) 430-2206
Fax: (606) 218-7506
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $417.
Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Integra LifeSciences Corporation ($106).
Total Amount
$417
General + Research + Ownership
Payments
23
Total payment records
General Amount
$417
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-02-19
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 |
|---|---|---|---|---|
| I20040219000000 | I | Physician Assistant | KY | 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 |
|---|---|---|---|---|
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 35 | 35 | $0 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 35 | 35 | $0 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 31 | 31 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 30 | 23 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 26 | 26 | $0 |
Insurance plans in this area (ZIP 41502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Family Practice | TN | |
| Orthopedic Surgery | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Anesthesiology, Pain Management | KY | |
| Orthopedic Surgery | TN |
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