ASIA N JACKSON (D.P.M) – Foot & Ankle Surgery Podiatrist, NPI 1669725529

ASIA N JACKSON (D.P.M) is a healthcare provider. based in Weatherford, Texas. specializing in PODIATRY. They hold the professional credentials D.P.M. They hold a License No. PR282 (FL). The NPI Number for ASIA N JACKSON (D.P.M) is 1669725529

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ASIA N JACKSON (D.P.M)
NPI
1669725529
Phone
(817) 596-5077
Address
750 EUREKA ST STE C
Enumeration Date
17 October 2012
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2143957171
Graduation Year
2012 (14 years ago)
PAC ID
2365756830
Group Practice PAC ID
3476074519
Professional Enrollment ID
I20150729007581
Address ID
TX750014371AD4006XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for ASIA N JACKSON (D.P.M)

  • 750 EUREKA ST STE C

    WEATHERFORD, TX 760866521

    Phone: (817) 596-5077

    Fax: (817) 598-0673

    Type: Mailing

  • 9001 WILES RD

    APT 104

    CORAL SPRINGS, FL 330671890

    Phone: (954) 294-5535

    Type: Mailing

  • 2801 N STATE ROAD 7

    MARGATE, FL 330635727

    Phone: (954) 978-4043

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: PAINTEQ LLC ($63).

Total Amount

$186

General + Research + Ownership

Payments

7

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150729007581IPodiatryTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails320120$0
99213Established patient office or other outpatient visit, 20-29 minutes227126$0
11056Removal of noncancer thickened skin growth, 2-4 growths18167$0
11042Removal of skin and tissue, 20.0 sq cm or less7713$0
17110Destruction of skin growth, 1-14 growths5836$0
View full utilization report →

Insurance plans in this area (ZIP 76086)

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Provider's Procedures

ASIA N JACKSON (D.P.M) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL11042Removal of skin and tissue first 20 sq cm or less3814
PODIATRYFL11056Removal of 2 to 4 thickened skin growths2621

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476074519View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX

Reviews

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Frequently asked questions

Does ASIA N JACKSON (D.P.M) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ASIA N JACKSON (D.P.M) uses 1669725529.
Does CMS list ASIA N JACKSON (D.P.M) as active?
Yes — ASIA N JACKSON (D.P.M) is active in the NPI listing used on this page.
What is ASIA N JACKSON (D.P.M)'s specialty?
The listing groups ASIA N JACKSON (D.P.M) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for ASIA N JACKSON (D.P.M)?
ASIA N JACKSON (D.P.M)'s geographic hint is Weatherford, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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