DAINTY J JACKSON (D. O.) – Family Medicine Physician, NPI 1194765834
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,488 FAMILY PRACTICE in MD
Provider Addresses for DAINTY J JACKSON (D. O.)
10 Saint Patricks Dr
Suite 502
Waldorf, MD 206034527
Phone: (301) 885-3350
Fax: (301) 885-3352
Type: Location
Upper Marlboro Post Office, Elm Street, Upper Marlboro, Prince George's County, Maryland, 20772, United States
UPPER MARLBORO, MD 207927876
Phone: (301) 254-8177
Fax: (240) 222-3899
Type: Mailing
Pembrooke Square, Waldorf, Charles County, Maryland, 20602, United States
WALDORF, MD 206034806
Phone: (301) 885-3350
Fax: (240) 222-3899
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Lilly USA, LLC ($24).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $24 |
| Exact Sciences Corporation | $19 |
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: 2009-12-18
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 |
|---|---|---|---|---|
| I20090319000526 | I | Family Practice | MD | TBD |
| I20091218000227 | I | Family Practice | DC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 315 | 74 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 34 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 26 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 19 | $0 |
Insurance plans in this area (ZIP 20603)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.