DR. JACKIE LYNN PRESTON (M.D.) – Internal Medicine Physician, NPI 1366445611
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Loading map...
Provider Addresses for DR. JACKIE LYNN PRESTON (M.D.)
San Angelo, Villa Residencial Santa Fe 3ra Sección, Pórticos de San Antonio, Municipio de Tijuana, Baja California, 22664, Mexico
SAN ANGELO, TX 769027200
Phone: (325) 658-1511
Type: Mailing
Shannon Medical Center, 120, East Harris Avenue, Downtown, San Angelo, Tom Green County, Texas, 76903, United States
SAN ANGELO, TX 769035904
Phone: (325) 653-6741
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2004-06-14
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 |
|---|---|---|---|---|
| I20040614001063 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 175 | 172 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 27 | 15 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 76902)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | OR | |
| - | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| - | TX | |
| O P H T H A L M O L O G Y | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.