SHAUN CHADRICK JACKSON (MD) – Pain Medicine Physician, NPI 1407013691
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
327 INTERVENTIONAL PAIN MANAGEMENT in TX
Provider Addresses for SHAUN CHADRICK JACKSON (MD)
861 Landa St
New Braunfels, TX 781306115
Phone: (210) 546-1460
Fax: (210) 546-1459
Type: Location
2424 Babcock Rd Ste 202
San Antonio, TX 782296031
Phone: (210) 546-1460
Fax: (210) 546-1459
Type: Location
423 TREELINE PARK
SUITE 325
SAN ANTONIO, TX 782092060
Phone: (210) 805-9800
Type: Location
45 NE LOOP 410 STE 850
SAN ANTONIO, TX 782165824
Phone: (210) 805-9800
Fax: (210) 805-8770
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $3,099.
Total Amount is formed as General ($3,099) + Research ($0) + Ownership ($0) = $3,099.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: PAINTEQ LLC ($1,195).
Total Amount
$3,099
General + Research + Ownership
Payments
97
Total payment records
General Amount
$3,099
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PAINTEQ LLC | $1,195 |
| Nevro Corp. | $336 |
| Medtronic, Inc. | $283 |
| Abbott Laboratories | $151 |
| ABBVIE INC. | $136 |
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: 2008-08-08
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 |
|---|---|---|---|---|
| I20080808000236 | I | Interventional Pain Management | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,751 | 114 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 522 | 103 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 359 | 189 | $0 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 201 | 102 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 196 | 96 | $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 |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 43 | 26 |
| INTERVENTIONAL PAIN MANAGEMENT | TX | 62311 | Injections of substances into lower or sacral spine | 57 | 29 |
| INTERVENTIONAL PAIN MANAGEMENT | TX | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 25 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Interventional Pain Management, Anesthesiology | TX |
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