RANDOLPH THOMAS JACKSON (M.D.) – Ophthalmology Physician, NPI 1457310518
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
157 OPHTHALMOLOGY in KS
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Provider Addresses for RANDOLPH THOMAS JACKSON (M.D.)
South Cliff Avenue, Independence, Jackson County, Missouri, 64136, United States
SUITE 100
INDEPENDENCE, MO 640557015
Phone: (816) 350-4536
Fax: (816) 350-4585
Type: Mailing
Discover Vision, 11010, Haskell Avenue, Maywood, Kansas City, Wyandotte County, Kansas, 66109, United States
KANSAS CITY, KS 661098500
Phone: (816) 478-1230
Fax: (816) 350-4166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $264.
Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($58).
Total Amount
$264
General + Research + Ownership
Payments
12
Total payment records
General Amount
$264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tarsus Pharmaceuticals, Inc. | $58 |
| Alcon Vision LLC | $54 |
| Dompe US, Inc. | $38 |
| RxSight Inc | $26 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $22 |
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: 2007-11-30
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 |
|---|---|---|---|---|
| I20070518000384 | I | Ophthalmology | MO | TBD |
| I20071130000479 | I | Ophthalmology | KS | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 383 | 367 | $0 |
| 92012 | Established patient problem focused exam of visual system | 229 | 145 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 143 | 86 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 140 | 86 | $0 |
| 92004 | New patient complete exam of visual system | 56 | 56 | $0 |
Insurance plans in this area (ZIP 64055)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | KS | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| - | MO | |
| O P H T H A L M O L O G Y | KY | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO |
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