LYLE THOMAS JR. JACKSON (M.D.) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1144540790
Orthopaedic Foot and Ankle Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
383 ORTHOPEDIC SURGERY in OR
Provider Addresses for LYLE THOMAS JR. JACKSON (M.D.)
55 COBURG RD
EUGENE, OR 974012433
Phone: (541) 485-8111
Fax: (541) 342-6379
Type: Mailing
555 N Arlington Ave
Reno, NV 895034723
Phone: (775) 786-3040
Fax: (775) 786-1358
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $538.
Total Amount is formed as General ($538) + Research ($0) + Ownership ($0) = $538.
Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Stryker Corporation ($394).
Total Amount
$538
General + Research + Ownership
Payments
6
Total payment records
General Amount
$538
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $394 |
| Arthrex, Inc. | $144 |
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: 2016-08-02
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 |
|---|---|---|---|---|
| I20160802002711 | I | Orthopedic Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 137 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 151 | 106 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 113 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 125 | 35 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 103 | 81 | $0 |
Insurance plans in this area (ZIP 97401)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OR | |
| Physical Therapist In Private Practice | OR | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | OR | |
| Orthopedic Surgery, Hand Surgery | OR | |
| Physician Assistant | IA | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physician Assistant | OR | |
| Orthopedic Surgery | CA |
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