KYLE JACKSON (M.D., PH.D.) – Surgery Physician, NPI 1164849352
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,997 GENERAL SURGERY in PA
Provider Addresses for KYLE JACKSON (M.D., PH.D.)
3400 SPRUCE STREET
4 SILVERSTEIN
PHILADELPHIA, PA 101044206
Phone: (215) 615-4949
Fax: (215) 662-2244
Type: Location
600 N WOLFE ST TOWER 110
THE JOHNS HOPKINS SCHOOL OF MEDICINE
BALTIMORE, MD 212872109
Phone: (410) 955-5020
Type: Mailing
101 WOODRUFF CIRCLE WMB SUITE 51505
ATLANTA, GA 303220001
Phone: (855) 366-7989
Type: Mailing
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 $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Ethicon US, LLC ($89).
Total Amount
$147
General + Research + Ownership
Payments
3
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $89 |
| Boston Scientific Corporation | $59 |
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: 2024-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220805001790 | I | General Surgery | GA | TBD |
| I20240802001911 | I | General Surgery | PA | 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 |
|---|---|---|---|---|
| 50360 | Transplantation of donor kidney | 49 | 49 | $0 |
| 50323 | Preparation of donor kidney for transplantation | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $0 |
| 50327 | Preparation of donor kidney and veins for transplantation | 18 | 17 | $0 |
Insurance plans in this area (ZIP 10104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | PA | |
| - | PA | |
| Orthopedic Surgery | PA | |
| - | PA | |
| Sports Medicine | PA | |
| General Surgery | PA | |
| O P H T H A L M O L O G Y | NJ | |
| Nurse Practitioner | PA | |
| Thoracic Surgery | PA | |
| - | PA |
Reviews
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