DR. LANCE ELLIOT JACKSON (M.D., F.A.C.S.) – Otology & Neurotology Physician, NPI 1174554521
Otology & Neurotology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 OTOLARYNGOLOGY in TX
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Provider Addresses for DR. LANCE ELLIOT JACKSON (M.D., F.A.C.S.)
18518, Hardy Oak Boulevard, San Antonio, Bexar County, Texas, 78258, United States
SUITE 300
SAN ANTONIO, TX 782584271
Phone: (210) 696-4327
Fax: (210) 798-2509
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)
CMS reports 8 Open Payments records for all available years, with a total value of $629.
Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Advanced Bionics, LLC ($345).
Total Amount
$629
General + Research + Ownership
Payments
8
Total payment records
General Amount
$629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Advanced Bionics, LLC | $345 |
| Nevro Corp. | $195 |
| Cochlear Americas | $54 |
| Smith+Nephew, Inc. | $22 |
| Medtronic, Inc. | $13 |
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: 2012-02-28
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 |
|---|---|---|---|---|
| I20120228000755 | I | Otolaryngology | TX | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 4,537 | 52 | $0 |
| 95004 | Test for allergy using allergenic extract | 4,130 | 58 | $0 |
| 92504 | Exam of ear using a microscope | 2,190 | 1,345 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,561 | 992 | $0 |
| 95117 | Professional service for multiple injections of allergen | 937 | 37 | $0 |
Insurance plans in this area (ZIP 78258)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | TX | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 4180 | 60 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Qualified Audiologist | TX | |
| N E U R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Physical Therapist In Private Practice | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Qualified Audiologist | TX | |
| Physician Assistant | TN |
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