DR. ROBERT WAYNE JACKSON (D.O.) – Rheumatology Physician, NPI 1730293705

DR. ROBERT WAYNE JACKSON (D.O.) is a healthcare provider. based in Memphis, Missouri. specializing in RHEUMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. R6C73 (MO). The NPI Number for DR. ROBERT WAYNE JACKSON (D.O.) is 1730293705

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT WAYNE JACKSON (D.O.)
NPI
1730293705
Phone
(660) 465-2828
Address
SIGLER AVE
Enumeration Date
18 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6604652828
Graduation Year
1981 (45 years ago)
PAC ID
3476448952
Group Practice PAC ID
8224940366
Professional Enrollment ID
I20190819003195
Address ID
MO635551726ME450XXAVEX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

152 RHEUMATOLOGY in MO

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Provider Addresses for DR. ROBERT WAYNE JACKSON (D.O.)

  • Sigler Avenue, Memphis, Scotland County, Missouri, 63555, United States

    MEMPHIS, MO 63555

    Phone: (660) 465-2828

    Fax: (660) 465-2820

    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 261 Open Payments records for all available years, with a total value of $41,746.

Total Amount is formed as General ($41,746) + Research ($0) + Ownership ($0) = $41,746.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GENZYME CORPORATION ($31,326).

Total Amount

$41,746

General + Research + Ownership

Payments

261

Total payment records

General Amount

$41,746

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

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: 2007-03-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040216000667IRheumatologyMOTBD
I20070312000392IRheumatologyIATBD

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
J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)19,60018$0
J0897Injection, denosumab, 1 mg3,60053$0
96372Injection of drug or substance under skin or into muscle277120$0
99213Established patient office or other outpatient visit, 20-29 minutes277183$0
J1885Injection, ketorolac tromethamine, per 15 mg19846$0
View full utilization report →

Insurance plans in this area (ZIP 63555)

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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: 8224940366View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ROBERT WAYNE JACKSON (D.O.)?
NPI 1730293705 is assigned to DR. ROBERT WAYNE JACKSON (D.O.) under the national enumeration system.
Does this profile mean DR. ROBERT WAYNE JACKSON (D.O.) is currently active?
Yes — DR. ROBERT WAYNE JACKSON (D.O.) appears active in the national provider directory.
Does DR. ROBERT WAYNE JACKSON (D.O.) list a primary specialty?
If you are matching referrals, note Rheumatology Physician for DR. ROBERT WAYNE JACKSON (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ROBERT WAYNE JACKSON (D.O.)?
The page summarizes Memphis, Missouri for DR. ROBERT WAYNE JACKSON (D.O.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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