STEPHEN J JACKSON (MD) – Internal Medicine Physician, NPI 1164411013

STEPHEN J JACKSON (MD) is a healthcare provider. based in Abilene, Texas. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. F4113 (TX). The NPI Number for STEPHEN J JACKSON (MD) is 1164411013

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN J JACKSON (MD)
NPI
1164411013
Phone
(866) 321-8433
Address
4716 S 14TH ST
Enumeration Date
13 October 2005
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
3252328668
Graduation Year
1979 (47 years ago)
PAC ID
6204807340
Group Practice PAC ID
5991086167
Professional Enrollment ID
I20040805000167

Contacts

Secure Messaging
stephen.jackson.1@15018.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for STEPHEN J JACKSON (MD)

  • 4716, South 14th Street, Abilene, Taylor County, Texas, 79605, United States

    ABILENE, TX 796054733

    Phone: (866) 321-8433

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-05

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
I20040805000167IInternal MedicineTXTBD

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
95806Sleep study including heart rate, breathing, airflow, and effort4342$0
G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation1515$0
View full utilization report →

Insurance plans in this area (ZIP 79605)

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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: 5991086167View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify STEPHEN J JACKSON (MD) with an NPI only?
You can start verification with NPI 1164411013 for STEPHEN J JACKSON (MD), then check state licensing separately.
Does CMS list STEPHEN J JACKSON (MD) as active?
Yes — STEPHEN J JACKSON (MD) is active in the NPI listing used on this page.
What is STEPHEN J JACKSON (MD) best known for clinically?
Directory data describes STEPHEN J JACKSON (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is STEPHEN J JACKSON (MD) based?
STEPHEN J JACKSON (MD) is tied to Abilene, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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