BETHANY ROSE JACKSON (DO) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1932640265
Hospice and Palliative Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BETHANY ROSE JACKSON (DO)
All Seasons Dr, Hilliard, Norwich Township, Franklin, Ohio, 43026, United States
HILLIARD, OH 430261962
Phone: (614) 541-2676
Type: Location
2625 E DIVISADERO ST
FRESNO, CA 937211431
Phone: (559) 443-2682
Fax: (559) 443-2681
Type: Mailing
Frantz Road, Dublin, Franklin, Ohio, 43017, United States
DUBLIN, OH 430164141
Phone:
Type: Mailing
2823 FRESNO ST
FRESNO, CA 937211324
Phone: (559) 443-2682
Fax: (559) 443-2681
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 $54.
Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.
Last reported payment date: 2023-06-15 • Largest payer in this snapshot: Medline Industries LP ($54).
Total Amount
$54
General + Research + Ownership
Payments
2
Total payment records
General Amount
$54
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $54 |
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: 2023-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190103002623 | I | Family Practice | UT | TBD |
| I20200709002900 | I | Family Practice | OH | TBD |
| I20231012002608 | I | Hospice/Palliative Care | CA | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 25 | 25 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 20 | 16 | $0 |
Insurance plans in this area (ZIP 43026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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