JEFFREY D JACKSON (MD) – Orthopaedic Surgery Physician, NPI 1033123179

JEFFREY D JACKSON (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 48648 (MN). The NPI Number for JEFFREY D JACKSON (MD) is 1033123179

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY D JACKSON (MD)
NPI
1033123179
Phone
(801) 261-7479
Address
1160 E 3900 S STE 5000
Enumeration Date
27 July 2006
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8015691999
Graduation Year
2001 (25 years ago)
PAC ID
3274536784
Group Practice PAC ID
4688767551
Professional Enrollment ID
I20110816000871
Address ID
UT840889366WE8846XRDXX402

Contacts

Secure Messaging
jjackson4840@epicmtn.hcadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110816000871IOrthopedic SurgeryUTTBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg28349$0
99213Established patient office or other outpatient visit, 20-29 minutes195138$0
20610Aspiration and/or injection of fluid from large joint8565$0
99203New patient office or other outpatient visit, 30-44 minutes7373$0
73030X-ray of shoulder, minimum of 2 views6053$0
View full utilization report →

Insurance plans in this area (ZIP 84124)

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Provider's Procedures

JEFFREY D JACKSON (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYUT20610Aspiration and/or injection of large joint or joint capsule9367

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: 4688767551View full group profile
NameSpecialtyState
Orthopedic SurgeryNV
Physician AssistantUT
-GA
Orthopedic SurgeryGA
Orthopedic SurgeryTX
General SurgeryGA
Orthopedic SurgeryUT
General SurgeryUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

Does JEFFREY D JACKSON (MD) have a public NPI I can cite?
Public records show JEFFREY D JACKSON (MD) under NPI 1033123179.
Should I treat JEFFREY D JACKSON (MD) as an active provider?
Patients and plans typically see JEFFREY D JACKSON (MD) as active in the national extract.
What type of care does JEFFREY D JACKSON (MD) provide?
JEFFREY D JACKSON (MD)'s profile centers on Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JEFFREY D JACKSON (MD)?
The directory associates JEFFREY D JACKSON (MD) with Salt Lake City, Utah. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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