RANDAL K JACKS (MD) – Family Medicine Physician, NPI 1356314124
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RANDAL K JACKS (MD)
774, Landa Street, New Braunfels, Comal County, Texas, 78130, United States
NEW BRAUNFELS, TX 781306114
Phone: (830) 625-0305
Fax: (830) 625-2693
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 12 Open Payments records for all available years, with a total value of $1,187.
Total Amount is formed as General ($1,187) + Research ($0) + Ownership ($0) = $1,187.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Amgen Inc. ($294).
Total Amount
$1,187
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $294 |
| Abbott Laboratories | $173 |
| Medtronic, Inc. | $142 |
| AstraZeneca Pharmaceuticals LP | $137 |
| Novo Nordisk Inc | $121 |
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: 2005-06-22
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 |
|---|---|---|---|---|
| I20050622000497 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 595 | 300 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 133 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 125 | 125 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 47 | 47 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 42 | 16 | $0 |
Insurance plans in this area (ZIP 78130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 83036 | Hemoglobin A1C level | 185 | 87 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX |
Reviews
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