JACK BRYAN WILLIAMSON (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1437147642
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
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Provider Addresses for JACK BRYAN WILLIAMSON (M.D.)
Main Street, Gordon, Houston County, Alabama, United States
HOUSTON, TX 770304509
Phone: (713) 799-2300
Fax: (713) 791-9395
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 1 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-04-20 • Largest payer in this snapshot: Aesculap Implant Systems, LLC ($140).
Total Amount
$140
General + Research + Ownership
Payments
1
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Aesculap Implant Systems, LLC | $140 |
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: 2011-03-17
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 |
|---|---|---|---|---|
| I20110317000778 | I | Orthopedic Surgery | 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 | 709 | 426 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 254 | 210 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 147 | 147 | $0 |
| 72114 | X-ray lower and sacral spine, minimum of 6 views | 120 | 119 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 97 | 83 | $0 |
Insurance plans in this area (ZIP 77030)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 30 | 24 |
| ORTHOPEDIC SURGERY | TX | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 25 | 24 |
| ORTHOPEDIC SURGERY | TX | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 44 | 20 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | LA | |
| P O D I A T R Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Hand Surgery, Orthopedic Surgery | TX |
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