CAMILLE CATHERINE JACKSON (M.D.) – Gynecologic Oncology Physician, NPI 1700046943
Gynecologic Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21 GYNECOLOGICAL ONCOLOGY in OK
Provider Addresses for CAMILLE CATHERINE JACKSON (M.D.)
4401 MCAULEY BLVD STE 2200
OKLAHOMA CITY, OK 731208561
Phone: (405) 749-7023
Fax: (405) 749-7025
Type: Location
600, North Wolfe Street, Washington Hill, Baltimore, Maryland, 21205, United States
BALTIMORE, MD 212870005
Phone: (410) 955-5000
Type: Location
4401 Roland Avenue Condomiums, 4401, Roland Avenue, Hoe's Heights, Baltimore, Maryland, 21212, United States
SUITE 614
BALTIMORE, MD 212102729
Phone: (504) 717-6150
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 105 Open Payments records for all available years, with a total value of $20,472.
Total Amount is formed as General ($20,472) + Research ($0) + Ownership ($0) = $20,472.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($14,538).
Total Amount
$20,472
General + Research + Ownership
Payments
105
Total payment records
General Amount
$20,472
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $14,538 |
| AstraZeneca Pharmaceuticals LP | $1,879 |
| Eisai Inc. | $1,492 |
| PFIZER INC. | $1,084 |
| GlaxoSmithKline, LLC. | $296 |
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: 2015-08-11
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 |
|---|---|---|---|---|
| I20150811005343 | I | Gynecological Oncology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 104 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 75 | 75 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 57 | 39 | $0 |
| 58571 | Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less | 33 | 33 | $0 |
| 56820 | Exam of external female genitals using an endoscope | 32 | 14 | $0 |
Insurance plans in this area (ZIP 73120)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Internal Medicine | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| Family Practice | OK |
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