JACKSON T JR. WRIGHT (MD PHD) – Internal Medicine Physician, NPI 1396755187
Internal Medicine Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACKSON T JR. WRIGHT (MD PHD)
3605, Warrensville Center Road, Shaker Heights, Cuyahoga County, Ohio, 44122, United States
1ST FLOOR
SHAKER HTS, OH 44122
Phone: (216) 286-6295
Fax: (216) 286-6341
Type: Mailing
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
CLEVELAND, OH 44106
Phone: (216) 844-3800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $25,808.
Total Amount is formed as General ($25,808) + Research ($0) + Ownership ($0) = $25,808.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medtronic, Inc. ($25,808).
Total Amount
$25,808
General + Research + Ownership
Payments
31
Total payment records
General Amount
$25,808
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $25,808 |
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: 2007-10-09
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20071009000307 | I | Nephrology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44122)
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