DR. CHAD HARMAN JACKSON (MD) – Ophthalmology Physician, NPI 1184067498

DR. CHAD HARMAN JACKSON (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 67198 (WI). The NPI Number for DR. CHAD HARMAN JACKSON (MD) is 1184067498

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAD HARMAN JACKSON (MD)
NPI
1184067498
Phone
(414) 456-2020
Address
925 N 87th St
Enumeration Date
17 April 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2083443220
Graduation Year
2013 (13 years ago)
PAC ID
2567754872
Group Practice PAC ID
3375457906
Professional Enrollment ID
I20200804000870
Address ID
ID837027308BO111XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

388 OPHTHALMOLOGY in WI

Provider Addresses for DR. CHAD HARMAN JACKSON (MD)

  • 925 N 87th St

    Milwaukee, WI 532264812

    Phone: (414) 456-2020

    Fax: (414) 456-6300

    Type: Location

  • 5435 Reno Corporate Dr Ste 100

    Reno, NV 895112250

    Phone: (775) 322-3311

    Fax: (775) 322-8388

    Type: Location

  • 4502 Medical Dr

    San Antonio, TX 782294402

    Phone: (210) 567-8406

    Type: Location

  • 111 W MAIN ST STE 200

    BOISE, ID 837027308

    Phone: (208) 344-3220

    Fax: (208) 344-0461

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Amgen Inc. ($142).

Total Amount

$339

General + Research + Ownership

Payments

12

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2020-08-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170726002166IOphthalmologyWITBD
I20200804000870IOphthalmologyIDTBD

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
92285Photography of content of eyes134134$0
99204New patient office or other outpatient visit, 45-59 minutes124124$0
99203New patient office or other outpatient visit, 30-44 minutes4343$0
99213Established patient office or other outpatient visit, 20-29 minutes3835$0
99212Established patient office or other outpatient visit, 10-19 minutes3026$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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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: 3375457906View full group profile
NameSpecialtyState
Ophthalmology, Plastic And Reconstructive SurgeryID

Reviews

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Frequently asked questions

How is DR. CHAD HARMAN JACKSON (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. CHAD HARMAN JACKSON (MD) with NPI 1184067498.
Does the file indicate DR. CHAD HARMAN JACKSON (MD) is practicing under active NPI?
Directory data currently reports DR. CHAD HARMAN JACKSON (MD) as active.
What is DR. CHAD HARMAN JACKSON (MD)'s specialty?
The listing groups DR. CHAD HARMAN JACKSON (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CHAD HARMAN JACKSON (MD) based?
DR. CHAD HARMAN JACKSON (MD) is tied to Milwaukee, Wisconsin in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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