KAYLYN R JACKMAN (OD) – Optometrist, NPI 1871590778

KAYLYN R JACKMAN (OD) is a healthcare provider. based in Lincoln, Nebraska. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 991 (NE). The NPI Number for KAYLYN R JACKMAN (OD) is 1871590778

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
KAYLYN R JACKMAN (OD)
NPI
1871590778
Phone
(402) 484-9000
Address
1710 S 70TH ST
Enumeration Date
7 July 2005
Last Update Date
1 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402484900
Graduation Year
1984 (42 years ago)
PAC ID
5092846337
Group Practice PAC ID
4082695721
Professional Enrollment ID
I20100630000053
Address ID
NE685061676LI1710XSTXX400

Contacts

Secure Messaging
kjackman@esane.intellechartdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

338 OPTOMETRY in NE

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Provider Addresses for KAYLYN R JACKMAN (OD)

  • Lincoln Surgery Hospital, 1710, South 70th Street, Lincoln, Lancaster County, Nebraska, 68506, United States

    PO BOX 6068

    LINCOLN, NE 685061676

    Phone: (402) 484-9000

    Fax: (402) 483-4223

    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 6 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($36).

Total Amount

$112

General + Research + Ownership

Payments

6

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2010-06-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100630000053IOptometryNETBD

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
92012Established patient problem focused exam of visual system167145$0
View full utilization report →

Insurance plans in this area (ZIP 68506)

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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: 4082695721View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
-NE
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE

Reviews

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Frequently asked questions

What identifier follows KAYLYN R JACKMAN (OD) across health systems?
The NPI 1871590778 uniquely identifies KAYLYN R JACKMAN (OD) in U.S. healthcare data.
Does the public listing show KAYLYN R JACKMAN (OD) as active?
KAYLYN R JACKMAN (OD)'s NPI record reflects an active status in NPPES.
What type of care does KAYLYN R JACKMAN (OD) provide?
KAYLYN R JACKMAN (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KAYLYN R JACKMAN (OD)?
KAYLYN R JACKMAN (OD) is associated with Lincoln, Nebraska in the same public data insurers reference.
Can I export KAYLYN R JACKMAN (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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