TREVOR JACKSON (DO) – Physical Medicine & Rehabilitation Physician, NPI 1245812452
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
878 PHYSICAL MEDICINE AND REHABILITATION in PA
Provider Addresses for TREVOR JACKSON (DO)
1201 Langhorne Newtown Rd
Langhorne, PA 190471201
Phone: (215) 710-2000
Type: Location
1776 WOODSTEAD CT STE 208
THE WOODLANDS, TX 773801480
Phone: (877) 749-7428
Type: Mailing
1208 LANGHORNE NEWTOWN RD
LANGHORNE, PA 190471234
Phone: (267) 560-1100
Type: Location
7031 SW 62ND AVE
SOUTH MIAMI, FL 331434701
Phone: (305) 284-1776
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($122).
Total Amount
$225
General + Research + Ownership
Payments
5
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-07-23
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 |
|---|---|---|---|---|
| I20250723003520 | I | Physical Medicine And Rehabilitation | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Physical Medicine And Rehabilitation | CT | |
| Physician Assistant | TX | |
| Physician Assistant | PA | |
| Physical Medicine And Rehabilitation | PA |
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