HALEY W JACKSON (MD) – Family Medicine Physician, NPI 1396248159
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Loading map...
Provider Addresses for HALEY W JACKSON (MD)
475, West 940 North, North Park, Provo, Utah County, Utah, 84604, United States
Provo, UT 846043301
Phone: (801) 357-7930
Type: Location
273 N 1325 W
SPRINGVILLE, UT 846633283
Phone: (385) 450-4572
Type: Mailing
1900 N STATE ST
PROVO, UT 846041341
Phone: (801) 373-2001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $515.
Total Amount is formed as General ($515) + Research ($0) + Ownership ($0) = $515.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($387).
Total Amount
$515
General + Research + Ownership
Payments
50
Total payment records
General Amount
$515
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $387 |
| Medtronic, Inc. | $33 |
| Boston Scientific Corporation | $30 |
| Lilly USA, LLC | $18 |
| Hologic Sales and Service, LLC | $18 |
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: 2019-11-04
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 |
|---|---|---|---|---|
| I20191104002377 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 86 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 14 | $0 |
Insurance plans in this area (ZIP 84604)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Nurse Practitioner | OR | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Physician Assistant | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.