DR. THOMAS JAMES JACKSON (M.D.) – Internal Medicine Physician, NPI 1528262698
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,190 INTERNAL MEDICINE in MO
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Provider Addresses for DR. THOMAS JAMES JACKSON (M.D.)
670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States
STE. 300
SAINT LOUIS, MO 631418573
Phone: (573) 860-6000
Fax: (573) 860-6016
Type: Mailing
965, Mattox Drive, Sullivan, Crawford County, Missouri, 63080, United States
SULLIVAN, MO 630802365
Phone: (573) 860-6000
Fax: (573) 860-6016
Type: Location
965 MATTOX DR
SULLIVAN, MO 630802365
Phone: (573) 860-6000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 153 Open Payments records for all available years, with a total value of $2,558.
Total Amount is formed as General ($2,558) + Research ($0) + Ownership ($0) = $2,558.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($758).
Total Amount
$2,558
General + Research + Ownership
Payments
153
Total payment records
General Amount
$2,558
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $758 |
| Novartis Pharmaceuticals Corporation | $215 |
| Amgen Inc. | $180 |
| GlaxoSmithKline, LLC. | $156 |
| Lilly USA, LLC | $102 |
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: 2009-10-28
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 |
|---|---|---|---|---|
| I20091028000559 | I | Internal Medicine | MO | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 29 | 12 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 22 | 22 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 22 | 22 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 16 | 12 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 63141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MO | 11042 | Removal of skin and tissue first 20 sq cm or less | 65 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| General Surgery | MO | |
| - | MO | |
| Hospitalist, Internal Medicine | AR | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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