DR. AVERY MICHAEL III JACKSON (M.D.) – Neurological Surgery Physician, NPI 1851329197
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. AVERY MICHAEL III JACKSON (M.D.)
4620 GENESYS PKWY
GRAND BLANC, MI 484398067
Phone: (810) 606-7200
Fax: (810) 606-7115
Type: Location
9400 S SAGINAW RD STE A
GRAND BLANC, MI 484399666
Phone: (810) 606-7200
Fax: (810) 606-7115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $1,061.
Total Amount is formed as General ($1,061) + Research ($0) + Ownership ($0) = $1,061.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Medtronic, Inc. ($321).
Total Amount
$1,061
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,061
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $321 |
| Amgen Inc. | $187 |
| Alvogen Inc | $134 |
| Azurity Pharmaceuticals, Inc. | $61 |
| Radius Health, Inc. | $47 |
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: 2004-02-04
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 |
|---|---|---|---|---|
| I20040204000756 | I | Neurosurgery | MI | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 420 | 14 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 41 | 41 | $0 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 21 | 15 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 18 | $0 |
| J0690 | Injection, cefazolin sodium, 500 mg | 17 | 11 | $0 |
Insurance plans in this area (ZIP 48439)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROSURGERY | MI | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 46 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI |
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