DR. MICHAEL B. JACKSON (M.D.) – Psychiatry Physician, NPI 1073600896
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,050 PSYCHIATRY in NJ
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Provider Addresses for DR. MICHAEL B. JACKSON (M.D.)
112, Churchill Road, Tenafly, Bergen County, New Jersey, 07670, United States
TENAFLY, NJ 076703120
Phone: (201) 588-9475
Type: Mailing
Santander, 80, River Street, Hoboken, Hudson County, New Jersey, 07030-5774, United States
3D
HOBOKEN, NJ 070305626
Phone: (201) 244-7799
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($30).
Total Amount
$53
General + Research + Ownership
Payments
2
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $30 |
| Alkermes, Inc. | $24 |
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: 2009-03-18
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 |
|---|---|---|---|---|
| I20090318000549 | I | Psychiatry | NY | 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 | 281 | 30 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 153 | 86 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 16 | 16 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 07670)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | NY | |
| - | NY | |
| - | NY | |
| Internal Medicine | NJ | |
| Physician Assistant | NJ | |
| Psychiatry, Neurology | CT | |
| Nurse Practitioner | NY | |
| - | NY | |
| P S Y C H I A T R Y | NY |
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