JARED JACKSON (M.D.) – Ophthalmology Physician, NPI 1730476730

JARED JACKSON (M.D.) is a healthcare provider. based in Midwest city, Oklahoma. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 29168 (OK). The NPI Number for JARED JACKSON (M.D.) is 1730476730

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
JARED JACKSON (M.D.)
NPI
1730476730
Phone
(405) 771-0880
Address
2150 S Douglas Blvd Ste C
Enumeration Date
29 June 2011
Last Update Date
21 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
4055622036
Graduation Year
2011 (15 years ago)
PAC ID
1254652738
Group Practice PAC ID
4789945239
Professional Enrollment ID
I20150609002328
Address ID
OK730135514ED3431XBOUL301

Contacts

Secure Messaging
jjackson@jackson.integrityemrdirectemr.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

212 OPHTHALMOLOGY in OK

Provider Addresses for JARED JACKSON (M.D.)

  • 2150 S Douglas Blvd Ste C

    Midwest City, OK 731306200

    Phone: (405) 771-0880

    Fax: (405) 741-4388

    Type: Location

  • PO BOX 1803

    EDMOND, OK 730831803

    Phone: (405) 418-4800

    Fax: (405) 418-4820

    Type: Mailing

  • 3431 S BOULEVARD STE 105

    EDMOND, OK 730135514

    Phone: (405) 771-0880

    Fax: (405) 562-2116

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,125.

Total Amount is formed as General ($1,125) + Research ($0) + Ownership ($0) = $1,125.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($230).

Total Amount

$1,125

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,125

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

View all Open Payments →|Open Payments Risk Radar →

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: 2015-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150609002328IOphthalmologyOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92136Measurement of corneal curvature and depth of eye382359$0
66984Removal of cataract with insertion of prosthetic lens302174$0
92014Established patient complete exam of visual system274259$0
92285Photography of content of eyes207186$0
99204New patient office or other outpatient visit, 45-59 minutes196196$0
View full utilization report →

Insurance plans in this area (ZIP 73130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789945239View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YOK
O P T O M E T R YOK
O P T O M E T R YAR

Reviews

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Frequently asked questions

What unique ID ties claims to JARED JACKSON (M.D.)?
NPI 1730476730 is assigned to JARED JACKSON (M.D.) under the national enumeration system.
Is JARED JACKSON (M.D.) currently active in the NPI registry?
CMS-published data lists JARED JACKSON (M.D.) as an active registrant.
Can you summarize JARED JACKSON (M.D.)'s specialty in plain language?
Clinically, the directory lists JARED JACKSON (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JARED JACKSON (M.D.)?
The snapshot lists Midwest City, Oklahoma for JARED JACKSON (M.D.); download NPPES for the complete set.
What if Midwest City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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