JEFFREY D JACKSON (MD) – Orthopaedic Surgery Physician, NPI 1033123179
Orthopaedic Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
Provider Addresses for JEFFREY D JACKSON (MD)
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 841241275
Phone: (801) 261-7479
Fax: (801) 261-7429
Type: Location
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States
ATLANTA, GA 303840253
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,120,409.
Total Amount is formed as General ($1,120,409) + Research ($0) + Ownership ($0) = $1,120,409.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Arthrex, Inc. ($1,119,421).
Total Amount
$1,120,409
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,120,409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,119,421 |
| Smith+Nephew, Inc. | $670 |
| Vericel Corporation | $162 |
| Stryker Corporation | $76 |
| DePuy Synthes Sales Inc. | $33 |
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: 2011-08-16
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 |
|---|---|---|---|---|
| I20110816000871 | I | Orthopedic Surgery | UT | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 283 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 195 | 138 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 85 | 65 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 73 | 73 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 60 | 53 | $0 |
Insurance plans in this area (ZIP 84124)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | UT | 20610 | Aspiration and/or injection of large joint or joint capsule | 93 | 67 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NV | |
| Physician Assistant | UT | |
| - | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery | TX | |
| General Surgery | GA | |
| Orthopedic Surgery | UT | |
| General Surgery | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT |
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