DR. JESSICA JACKSON (DPM) – Podiatrist, NPI 1912947631
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 PODIATRY in KY
Provider Addresses for DR. JESSICA JACKSON (DPM)
15014 Bircham Rd
Louisville, KY 402454104
Phone: (502) 558-0194
Type: Location
15014 BIRCHAM RD
LOUISVILLE, KY 402454104
Phone: (502) 558-0194
Type: Mailing
2315 GREEN VALLEY RD STE 200
NEW ALBANY, IN 471504690
Phone: (502) 558-0194
Type: Location
Pleasant Avenue, Fairfield, Butler County, Ohio, 45014, United States
SUITE 3
FAIRFIELD, OH 450144670
Phone: (513) 829-9333
Fax: (513) 858-7827
Type: Mailing
178, North Ewing Avenue, Louisville, Jefferson County, Kentucky, 40206, United States
LOUISVILLE, KY 402062459
Phone: (502) 554-3792
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-01-12
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 |
|---|---|---|---|---|
| I20050112000031 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11720 | Removal of fingernails or toenails, 1-5 nails | 889 | 335 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 444 | 175 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 232 | 90 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 72 | 71 | $0 |
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 40245)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | KY | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | IN |
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