MICHAEL JACKSON (MD) – Family Medicine Physician, NPI 1124019989

MICHAEL JACKSON (MD) is a healthcare provider. based in Austin, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M3272 (TX). The NPI Number for MICHAEL JACKSON (MD) is 1124019989

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JACKSON (MD)
NPI
1124019989
Phone
(512) 402-6242
Address
1250 S CAPITAL OF TEXAS HWY
Enumeration Date
2 November 2005
Last Update Date
25 March 2021

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
2818667080
Graduation Year
2001 (25 years ago)
PAC ID
1759456601
Group Practice PAC ID
4587947346
Professional Enrollment ID
I20080812000736
Address ID
TX773798065SP6401XDRXX301

Contacts

Secure Messaging
MichaelW.Jackson@direct.memorialhermann.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

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Provider Addresses for MICHAEL JACKSON (MD)

  • The Austin Diagnostic Clinic - Westlake, 1250, South Capital of Texas Highway, Austin, Travis County, Texas, 78746, United States

    AUSTIN, TX 78746

    Phone: (512) 402-6242

    Type: Mailing

  • 9305 PINECROFT DR STE 101

    THE WOODLANDS, TX 773803482

    Phone: (713) 897-7500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $626.

Total Amount is formed as General ($626) + Research ($0) + Ownership ($0) = $626.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Novo Nordisk Inc ($199).

Total Amount

$626

General + Research + Ownership

Payments

35

Total payment records

General Amount

$626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-08-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080812000736IFamily PracticeTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2315$0
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 78746)

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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: 4587947346View full group profile
NameSpecialtyState
Family PracticeTX
Internal Medicine, EndocrinologyTX
Family PracticeTX
Nurse PractitionerTX
Family Practice, General PracticeTX
-TX
Family PracticeTX
Internal MedicineLA
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX

Reviews

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Frequently asked questions

Can I verify MICHAEL JACKSON (MD) with an NPI only?
You can start verification with NPI 1124019989 for MICHAEL JACKSON (MD), then check state licensing separately.
Is MICHAEL JACKSON (MD) still practicing?
MICHAEL JACKSON (MD) is currently listed as active in the public NPI registry.
What healthcare role does MICHAEL JACKSON (MD) hold?
Scheduling teams often label MICHAEL JACKSON (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL JACKSON (MD)?
MICHAEL JACKSON (MD)'s geographic hint is Austin, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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