CARL JACKSON (PA-C) – Physician Assistant, NPI 1902263270
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Loading map...
Provider Addresses for CARL JACKSON (PA-C)
South 101st East Avenue, Tulsa, Tulsa County, Oklahoma, 74129, United States
TULSA, OK 741335716
Phone: (918) 579-6090
Type: Location
22096 S 445TH EAST AVE
PORTER, OK 744543239
Phone: (918) 625-7927
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-09-07 • Largest payer in this snapshot: ATRICURE, INC. ($38).
Total Amount
$38
General + Research + Ownership
Payments
1
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $38 |
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: 2023-11-28
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 |
|---|---|---|---|---|
| I20160308000737 | I | Physician Assistant | OK | TBD |
| I20220407000420 | I | Physician Assistant | TX | TBD |
| I20231128002347 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 119 | 112 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 79 | 78 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 69 | 68 | $0 |
| 99291 | Critical care, first 30-74 minutes | 28 | 28 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 17 | 17 | $0 |
Insurance plans in this area (ZIP 74133)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | OK | |
| Emergency Medicine | OK | |
| Family Practice | PA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | OK | |
| Internal Medicine | NY | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Internal Medicine | OK | |
| Internal Medicine | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.