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Dr. Timothy Jacks , DO

Pediatrics • Mesa, AZ

Active NPI 1164686549 Individual Practitioner Male Practitioner
Practice location in NPPES

4540 E Baseline Rd, Suite 108
Mesa, AZ 852064613

Call 4808923880 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4540 E Baseline Rd
Suite 108

Mesa, AZ 852064613

Telephone 4808923880
Fax 4805454551
Organization at the Same NPPES Address or Phone
Homewood Family Medicine Pllc Facility NPI 1144206541

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $148.56 across 8 records.

By nature of payment

  • Food and Beverage: $148.56 across 8 records.

Reporting-company totals (3 largest of 5)

  • Merck Sharp & Dohme LLC: $58.28 across 3 records.
  • GlaxoSmithKline, LLC.: $30.55 across 2 records.
  • Corium, LLC: $24.10 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mesa and Arizona

62 active clinicians are listed under Pediatrics with a practice address in Mesa, AZ (1,310 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

0% of these 62 clinicians have the CMS telehealth indicator.

3.2% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $148.56.

Manufacturer Payment Nature Product Type Amount ($)
Corium, LLC
Food and Beverage
In-kind items and services
Azstarys General $24.10
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
ROTATEQ General $22.43
Pfizer Inc.
Food and Beverage
In-kind items and services
TRUMENBA General $21.43
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
ROTATEQ General $19.47
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $16.48
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
ROTATEQ General $16.38
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $14.20
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $14.07

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES AZ R70095

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Training Permit
R70095 (AZ)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1386613297

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated July 15, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1164686549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2008
Last Update: May 17, 2013
Sole Proprietor: No

Other Pediatrics Specialists in Mesa

Healthcare providers in Mesa

Mailing Address

4540 E Baseline Rd, Suite 108

Mesa, AZ 852064613

Phone: 4808923880

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.