DR. TIFFANY R JACKSON (MD) – Gynecology Physician, NPI 1942491063

DR. TIFFANY R JACKSON (MD) is a healthcare provider. based in Garland, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME109226 (FL). The NPI Number for DR. TIFFANY R JACKSON (MD) is 1942491063

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY R JACKSON (MD)
NPI
1942491063
Phone
(469) 800-2240
Address
7217 TELECOM PARKWAY
Enumeration Date
5 August 2007
Last Update Date
5 July 2023

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
6800060823
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20131106000222
Address ID
TX750935323PL4700XBLVD300
Telehealth
Yes

Contacts

Secure Messaging
tjackson225770@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. TIFFANY R JACKSON (MD)

  • 7217, Telecom Parkway, Garland, Dallas County, Texas, 75044, United States

    SUITE 290

    GARLAND, TX 75044

    Phone: (469) 800-2240

    Fax: (469) 800-2251

    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 27 Open Payments records for all available years, with a total value of $21,840.

Total Amount is formed as General ($21,840) + Research ($0) + Ownership ($0) = $21,840.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($15,353).

Total Amount

$21,840

General + Research + Ownership

Payments

27

Total payment records

General Amount

$21,840

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2013-11-06

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
I20131106000222IObstetrics/GynecologyTXTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2828$0
99213Established patient office or other outpatient visit, 20-29 minutes2320$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 75044)

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Provider's Procedures

DR. TIFFANY R JACKSON (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYTX81002Urinalysis, manual test2422

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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

How is DR. TIFFANY R JACKSON (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. TIFFANY R JACKSON (MD) with NPI 1942491063.
Is DR. TIFFANY R JACKSON (MD) still practicing?
DR. TIFFANY R JACKSON (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. TIFFANY R JACKSON (MD)?
For research purposes, treat DR. TIFFANY R JACKSON (MD) as Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. TIFFANY R JACKSON (MD) based?
DR. TIFFANY R JACKSON (MD) is tied to Garland, Texas in the data we show; additional addresses may exist on the full record.
Is the information about DR. TIFFANY R JACKSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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