JACKSON WALTERS (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1124274733
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
28 INTERVENTIONAL PAIN MANAGEMENT in MS
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Provider Addresses for JACKSON WALTERS (MD)
670, Leigh Drive, Bluecutt Estates, Columbus, Lowndes County, Mississippi, 39705, United States
COLUMBUS, MS 397053014
Phone: (662) 328-1012
Fax: (662) 328-1507
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $2,515.
Total Amount is formed as General ($2,515) + Research ($0) + Ownership ($0) = $2,515.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($2,291).
Total Amount
$2,515
General + Research + Ownership
Payments
23
Total payment records
General Amount
$2,515
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $2,291 |
| Medtronic, Inc. | $128 |
| SI-BONE, INC. | $80 |
| Collegium Pharmaceutical, Inc. | $16 |
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: 2013-09-09
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 |
|---|---|---|---|---|
| I20130909000171 | I | Anesthesiology | MS | 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 | 838 | 496 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 547 | 418 | $0 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 487 | 290 | $0 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 234 | 186 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 233 | 187 | $0 |
Insurance plans in this area (ZIP 39705)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | MS | 62311 | Injections of substances into lower or sacral spine | 217 | 96 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MS | |
| Orthopedic Surgery | MS | |
| Orthopedic Surgery | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Occupational Therapist In Private Practice | MS | |
| Nurse Practitioner | MS | |
| Physical Therapist In Private Practice | MS | |
| Physical Therapist In Private Practice | MS |
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