JOHN ERIC JACKSON (M.D.) – Procedural Dermatology Physician, NPI 1558653725
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for JOHN ERIC JACKSON (M.D.)
1985 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 224016233
Phone: (540) 373-6647
Fax: (540) 479-1656
Type: Mailing
8381 RIVERWALK PARK BLVD STE 101
FORT MYERS, FL 339198760
Phone: (239) 936-5425
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $277.
Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.
Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($138).
Total Amount
$277
General + Research + Ownership
Payments
6
Total payment records
General Amount
$277
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $138 |
| Sun Pharmaceutical Industries Inc. | $102 |
| Lilly USA, LLC | $23 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $14 |
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: 2022-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200610002939 | I | Dermatology | VA | TBD |
| I20220511002293 | I | Dermatology | FL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,683 | 310 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 735 | 522 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 528 | 411 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 407 | 321 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 326 | 326 | $0 |
Insurance plans in this area (ZIP 22401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL |
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