DR. ELISHA JANA JACKSON (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1346506482
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
Provider Addresses for DR. ELISHA JANA JACKSON (M.D.)
6991 SWEDE JOHNSEN DR
EL PASO, TX 799127266
Phone: (816) 686-0222
Type: Mailing
6651 MAIN ST
HOUSTON, TX 770302351
Phone: (328) 826-7735
Type: Location
333 CEDAR ST
NEW HAVEN, CT 065103206
Phone: (203) 432-4771
Type: Location
8703 MORRIS WOODS DR
MISSOURI CITY, TX 774593888
Phone: (816) 686-0222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $2,686.
Total Amount is formed as General ($2,686) + Research ($0) + Ownership ($0) = $2,686.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Axonics, Inc. ($1,944).
Total Amount
$2,686
General + Research + Ownership
Payments
27
Total payment records
General Amount
$2,686
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $1,944 |
| Boston Scientific Corporation | $376 |
| COLOPLAST CORP | $217 |
| Sumitomo Pharma America, Inc. | $81 |
| BLUEWIND MEDICAL | $37 |
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: 2025-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190918003413 | I | Obstetrics/Gynecology | TX | TBD |
| I20250716002810 | I | Obstetrics/Gynecology | CT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 98 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 74 | 74 | $0 |
| 52287 | Exam with injections of chemical for destruction of bladder using an endoscope | 20 | 16 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 13 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 79912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| U R O L O G Y | CT | |
| - | CT | |
| Clinical Social Worker | CT | |
| - | CT | |
| - | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Nurse Practitioner | CT | |
| Vascular Surgery | CT | |
| Nurse Practitioner | CT |
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