HERSHEL JACKSON (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1023153178

HERSHEL JACKSON (MD) is a healthcare provider. based in Southfield, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 4301043930 (MI). The NPI Number for HERSHEL JACKSON (MD) is 1023153178

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
HERSHEL JACKSON (MD)
NPI
1023153178
Phone
(248) 559-8810
Address
23077 GREENFIELD RD STE 450
Enumeration Date
20 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2485598810
Graduation Year
1980 (46 years ago)
PAC ID
3375674294
Professional Enrollment ID
I20100621000815
Address ID
MI480753760SO23077RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

648 GASTROENTEROLOGY in MI

Provider Addresses for HERSHEL JACKSON (MD)

  • 23077 GREENFIELD RD STE 450

    SOUTHFIELD, MI 480753760

    Phone: (248) 559-8810

    Type: Mailing

  • 3990 JOHN R ST

    DETROIT, MI 482012018

    Phone: (313) 745-8040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-07

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: 2010-06-21

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
I20100621000815IGastroenterologyMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes274121$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes172148$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope133123$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope8577$0
45380Biopsy of large bowel using a flexible endoscope7171$0
View full utilization report →

Insurance plans in this area (ZIP 48075)

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Provider's Procedures

HERSHEL JACKSON (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMI43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope173157
GASTROENTEROLOGYMI45378Diagnostic examination of large bowel using an endoscope256247

Reviews

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Frequently asked questions

Is there an official ID for HERSHEL JACKSON (MD) in U.S. healthcare records?
The official identifier for HERSHEL JACKSON (MD) is NPI 1023153178.
Would HERSHEL JACKSON (MD) appear as active to a payer?
You can treat HERSHEL JACKSON (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with HERSHEL JACKSON (MD)?
HERSHEL JACKSON (MD)'s record emphasizes Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with HERSHEL JACKSON (MD)?
Directory geography for HERSHEL JACKSON (MD) centers on Southfield, Michigan.
Does HERSHEL JACKSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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