JACKSON DUANE LAW (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1114507795
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
213 PODIATRY in OR
Provider Addresses for JACKSON DUANE LAW (DPM)
911 HAMEL DR
ENTERPRISE, OR 978281437
Phone: (480) 861-3804
Type: Mailing
601 MEDICAL PKWY
ENTERPRISE, OR 978285124
Phone: (541) 426-3111
Type: Location
20000 N 57TH AVE RM J210
GLENDALE, AZ 853086993
Phone: (480) 861-3804
Type: Mailing
3601 S 6TH AVE
TUCSON, AZ 857230001
Phone: (520) 792-1145
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Smith+Nephew, Inc. ($96).
Total Amount
$178
General + Research + Ownership
Payments
3
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $96 |
| ACUMED LLC | $57 |
| Stryker Corporation | $25 |
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: 2024-10-24
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 |
|---|---|---|---|---|
| I20241024003755 | I | Podiatry | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97828)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MD | |
| Physician Assistant | CO | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Orthopedic Surgery | CA | |
| Nurse Practitioner | OR | |
| Emergency Medicine, Medical Oncology | WA | |
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| General Surgery | IN |
Reviews
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