JILL L JACKSON-SMITH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1417061516
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 PODIATRY in OK
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Provider Addresses for JILL L JACKSON-SMITH (DPM)
East 71st Street, Southbrook II, Tulsa, Tulsa County, Oklahoma, 74133, United States
SUITE 220
TULSA, OK 741366628
Phone: (918) 477-7096
Fax: (918) 477-9362
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 9 Open Payments records for all available years, with a total value of $656.
Total Amount is formed as General ($656) + Research ($0) + Ownership ($0) = $656.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($219).
Total Amount
$656
General + Research + Ownership
Payments
9
Total payment records
General Amount
$656
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $219 |
| Inari Medical, Inc. | $198 |
| Amgen Inc. | $123 |
| Pylant Medical | $115 |
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: 2010-07-20
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 |
|---|---|---|---|---|
| I20100720000195 | I | Podiatry | OK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 259 | 136 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 104 | 104 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 74 | 32 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 56 | 38 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 44 | 14 | $0 |
Insurance plans in this area (ZIP 74136)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | OK | 73630 | X-ray of foot, minimum of 3 views | 27 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IL | |
| - | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK |
Reviews
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