PHILIP C JR. JACKSON (MD) – Internal Medicine Physician, NPI 1306852678

PHILIP C JR. JACKSON (MD) is a healthcare provider. based in Austin, Texas. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. L7426 (TX). The NPI Number for PHILIP C JR. JACKSON (MD) is 1306852678

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP C JR. JACKSON (MD)
NPI
1306852678
Phone
(512) 407-8686
Address
PO BOX 26726
Enumeration Date
31 July 2006
Last Update Date
14 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
5127061900
Graduation Year
1995 (31 years ago)
PAC ID
7810068699
Group Practice PAC ID
8325289812
Professional Enrollment ID
I20080623000227
Address ID
TX787563316AU4207XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for PHILIP C JR. JACKSON (MD)

  • PO BOX 26726

    AUSTIN, TX 787550726

    Phone: (512) 407-8686

    Fax: (512) 406-6216

    Type: Mailing

  • West 38th Street, Austin, Travis County, Texas, 78705, United States

    AUSTIN, TX 787051011

    Phone: (512) 324-1864

    Fax: (512) 419-9016

    Type: Location

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: 2008-06-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080623000227IInternal 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes441219$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes243113$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes171167$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes137132$0
99239Hospital discharge day management, more than 30 minutes134128$0
View full utilization report →

Insurance plans in this area (ZIP 78755)

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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: 8325289812View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Certified Clinical Nurse Specialist (Cns)TX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up PHILIP C JR. JACKSON (MD) by NPI?
Use NPI 1306852678 when you need to reference PHILIP C JR. JACKSON (MD) in forms, claims, or directories.
Is PHILIP C JR. JACKSON (MD)'s NPI currently valid?
The extract we use shows PHILIP C JR. JACKSON (MD) as active.
Does PHILIP C JR. JACKSON (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for PHILIP C JR. JACKSON (MD). Clinical services aligned with this taxonomy classification.
Does PHILIP C JR. JACKSON (MD) practice in Texas?
You will see Austin, Texas on file for PHILIP C JR. JACKSON (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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