DR. ROBERT FRANKLIN II JACKSON (D.O.) – Orthopaedic Surgery Physician, NPI 1982654828
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for DR. ROBERT FRANKLIN II JACKSON (D.O.)
191 Memorial Dr
Berlin, WI 549231241
Phone: (920) 361-2500
Type: Location
2120 N SECTION ST
SULLIVAN, IN 478827518
Phone: (812) 268-4878
Type: Location
PO BOX 670
HUNTERTOWN, IN 467480670
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Mailing
6811 Lima Rd
Fort Wayne, IN 468181145
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
1314 E 7th St Ste 201
Auburn, IN 467062533
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
2124 N Biomet Dr
Warsaw, IN 465827858
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
2716 S Western Ave Ste D
Marion, IN 469533575
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
1721, Magnavox Way, Times Corner, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468041537
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Mentor Worldwide LLC ($71).
Total Amount
$71
General + Research + Ownership
Payments
3
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $71 |
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: 2008-07-21
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 |
|---|---|---|---|---|
| I20080721000178 | I | Orthopedic Surgery | IN | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 13 | 13 | $0 |
Insurance plans in this area (ZIP 54923)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Mental Health Counselor | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Psychiatry, Internal Medicine, Neuropsychiatry | GA | |
| Family Practice | ND | |
| Pain Management | OH |
Reviews
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