DR. DESMOND ALEXANDER JACKSON (M.D.) – Rheumatology Physician, NPI 1043650765

DR. DESMOND ALEXANDER JACKSON (M.D.) is a healthcare provider. based in Kalamazoo, Michigan. specializing in RHEUMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301103154 (MI). The NPI Number for DR. DESMOND ALEXANDER JACKSON (M.D.) is 1043650765

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. DESMOND ALEXANDER JACKSON (M.D.)
NPI
1043650765
Phone
(269) 344-5552
Address
501 S DRAKE RD
Enumeration Date
26 June 2013
Last Update Date
28 November 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2486259099
Graduation Year
2013 (13 years ago)
PAC ID
2961755947
Group Practice PAC ID
3971416082
Professional Enrollment ID
I20181020000093
Address ID
MI483271970WA5210XRDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Digital endpointsOther names

216 RHEUMATOLOGY in MI

Provider Addresses for DR. DESMOND ALEXANDER JACKSON (M.D.)

  • 501 S DRAKE RD

    KALAMAZOO, MI 490093234

    Phone: (269) 344-5552

    Type: Mailing

  • 5210 HIGHLAND RD STE 201

    WATERFORD, MI 483271970

    Phone: (248) 674-2259

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $1,855.

Total Amount is formed as General ($1,855) + Research ($0) + Ownership ($0) = $1,855.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($523).

Total Amount

$1,855

General + Research + Ownership

Payments

135

Total payment records

General Amount

$1,855

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2018-10-20

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
I20181020000093IRheumatologyMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes260177$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 49009)

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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: 3971416082View full group profile
NameSpecialtyState
Internal MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Family PracticeMI
Emergency MedicineIL
-GA
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DESMOND ALEXANDER JACKSON (M.D.)'s NPI?
Yes. DR. DESMOND ALEXANDER JACKSON (M.D.) is listed with NPI 1043650765 in the public NPI dataset.
Does CMS list DR. DESMOND ALEXANDER JACKSON (M.D.) as active?
Yes — DR. DESMOND ALEXANDER JACKSON (M.D.) is active in the NPI listing used on this page.
What is DR. DESMOND ALEXANDER JACKSON (M.D.)'s specialty?
The listing groups DR. DESMOND ALEXANDER JACKSON (M.D.) with Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. DESMOND ALEXANDER JACKSON (M.D.) list a practice location?
Patients near Kalamazoo, Michigan may find DR. DESMOND ALEXANDER JACKSON (M.D.) in results; validate coverage separately.
Is the information about DR. DESMOND ALEXANDER JACKSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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