DR. DANIEL LEE JACKSON (MD) – Maternal & Fetal Medicine Physician, NPI 1952561938

DR. DANIEL LEE JACKSON (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2015013283 (MO). The NPI Number for DR. DANIEL LEE JACKSON (MD) is 1952561938

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL LEE JACKSON (MD)
NPI
1952561938
Phone
(405) 949-3308
Address
3300 NW Expressway
Enumeration Date
12 June 2008
Last Update Date
8 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
3149515000
Graduation Year
2012 (14 years ago)
PAC ID
6901056258
Group Practice PAC ID
5294000485
Professional Enrollment ID
I20150701001461
Address ID
MO631418265SA621XXRDXX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

481 OBSTETRICS/GYNECOLOGY in OK

Provider Addresses for DR. DANIEL LEE JACKSON (MD)

  • 3300 NW Expressway

    Oklahoma City, OK 731124418

    Phone: (405) 949-3308

    Fax: (405) 951-8685

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 406, North Keene Street, Columbia, Boone County, Missouri, 65201, United States

    COLUMBIA, MO 65201

    Phone: (573) 499-6041

    Fax: (573) 499-6091

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-03-18 • Largest payer in this snapshot: Sage Therapeutics, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sage Therapeutics, Inc.$17
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: 2015-07-01

PECOS data refreshed: 2026-06-15

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
I20150701001461IObstetrics/GynecologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73112)

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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: 5294000485View full group profile
NameSpecialtyState
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Critical Care (Intensivists), Obstetrics/GynecologyKY
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YCT
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Registered Dietitian Or Nutrition ProfessionalMO
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

What federal number belongs to DR. DANIEL LEE JACKSON (MD)?
The federal identifier for DR. DANIEL LEE JACKSON (MD) is NPI 1952561938.
Is DR. DANIEL LEE JACKSON (MD) active in the national directory?
DR. DANIEL LEE JACKSON (MD)'s public NPI profile is in an active state.
Does DR. DANIEL LEE JACKSON (MD) list a primary specialty?
If you are matching referrals, note Maternal & Fetal Medicine Physician for DR. DANIEL LEE JACKSON (MD). Clinical services aligned with this taxonomy classification.
Where is DR. DANIEL LEE JACKSON (MD)'s primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for DR. DANIEL LEE JACKSON (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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