Dr. Jerry S Jackson , DPM
Podiatrist • Montezuma, KS
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerry Jackson, DPM was a registered Podiatrist practicing in Montezuma, KS. Throughout an active medical career spanning 16 years, Dr. Jackson provided care at the practice location at 300 AZTEC ST until profile deactivation on 2022-03-01.
Historical Medicare Part B clinical services included removal of fingernails or toenails, removal of single thickened skin growth, removal of noncancer thickened skin growth, 2-4 growths. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
300 Aztec St
Montezuma, KS 67867
Specialty Benchmarks & Practice Insights
Comparative analytics for Podiatrist in Montezuma, KS
Practicing in Montezuma, KS (64 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
11721
Removal of fingernails or toenails, 6 or more nails
|
442 | 441 | $47.32 | $43.64 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 213E00000X
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Psychologist - Clinical
Optometrist
Doctor of Optometry
Dentist
Doctor of Dental Surgery, Master of Science
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 01, 2022
NPI status registered as active in NPPES database
Registered at 300 AZTEC ST, MONTEZUMA, KS 67867 (Tel: 8552599183)
Registered at 12910 SHELBYVILLE RD, SUITE 300, LOUISVILLE, KY 402431593 (Tel: 5022442441)
Recorded as JERRY JACKSON, DPM
Podiatrist (License #145 in KS)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
12910 Shelbyville Rd, Suite 300
Louisville, KY 402431593
Phone: 5022442441
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