DR. ALVIN DERON JACKSON (M.D.) – Family Medicine Physician, NPI 1346228038
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Provider Addresses for DR. ALVIN DERON JACKSON (M.D.)
3101 Burnet Ave
Cincinnati, OH 452293014
Phone: (513) 357-7289
Fax: (513) 352-3939
Type: Location
East Broad Street, Savannah Historic District, Savannah, Chatham County, Georgia, 31401, United States
SAVANNAH, GA 314012917
Phone: (912) 527-1097
Fax: (912) 527-1126
Type: Mailing
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 $106.
Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Lilly USA, LLC ($40).
Total Amount
$106
General + Research + Ownership
Payments
6
Total payment records
General Amount
$106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-04-29
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 |
|---|---|---|---|---|
| I20160429001804 | I | Family Practice | GA | 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 |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 63 | 34 | $0 |
| 81003 | Automated urinalysis test | 47 | 33 | $0 |
| 77067 | Screening mammography | 13 | 13 | $0 |
| 77063 | Screening 3d breast mammography | 12 | 11 | $0 |
| 85018 | Blood count, hemoglobin | 11 | 11 | $0 |
Insurance plans in this area (ZIP 45229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | GA | |
| Mental Health Counselor | GA | |
| P O D I A T R Y | GA | |
| Nurse Practitioner | GA | |
| Clinical Social Worker | GA | |
| - | GA | |
| - | GA | |
| Family Practice, Geriatric Medicine | CA | |
| Nurse Practitioner | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
Reviews
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