Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Richard J Jackson , MD

Surgery - Pediatric Surgery β€’ Temple, TX

Active NPI 1215027883 Individual Practitioner Male Practitioner
Practice location in NPPES

1901 Sw H K Dodgen Loop
Temple, TX 765023500

Call 2549354000 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

1901 Sw H K Dodgen Loop

Temple, TX 765023500

Telephone 2549354000
Fax 2549354111
Organization at the Same NPPES Address or Phone

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

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, β€œDoes 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

Enrolled in Medicare (PECOS)

Dr. Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Temple and Texas

6 active clinicians are listed under Surgery - Pediatric Surgery with a practice address in Temple, TX (128 in Texas).

Addresses are self-reported to NPPES and may be out of date.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-08
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

License # reported to NPPES TX N3094

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

License # reported to NPPES AR N-8271

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
125912907 (TX)
Medicaid ID
137345810 (TX)
Medicaid ID
140442852 (TX)
Medicaid ID
121627001 (AR)
Medicaid ID
125912908 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20161004000751

Enrollment State Jurisdiction

WV

PECOS Control ID

0446222582

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

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

14 listed
Nicole Benavides , CRNA

Nurse Anesthetist, Certified Registered

NPI 1699811943

Certified Registered Nurse Anesthetist

Dr. Paras Bhattarai , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1679763742

Doctor of Medicine (M.D.)

Dr. Kara Conley , MD

Emergency Medicine

NPI 1720439623

Doctor of Medicine (M.D.)

Dr. Ehab Dayyat , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1396923363

Doctor of Medicine (M.D.)

Dr. Ydamis Estrella Perez , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1669836169

Doctor of Medicine (M.D.)

Dr. Leland Finley , MD

Emergency Medicine

NPI 1114414257

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 14, 2019

Registered at 1901 SW H K DODGEN LOOP, TEMPLE, TX 765023500 (Tel: 2549354000)

πŸ“
Updated Business Mailing Address October 14, 2019

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547242111)

βœ…
NPI Profile Active February 05, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 05, 2014

Registered at 1 CHILDRENS WAY # 653, LITTLE ROCK, AR 722023500 (Tel: 5013641100)

πŸ“
Business Mailing Address (Initial Record) February 05, 2014

Registered at 1 CHILDRENS WAY # 653, LITTLE ROCK, AR 722023500 (Tel: 5013641100)

πŸ‘€
Provider Name / Credentials (Initial Record) February 05, 2014

Recorded as RICHARD JACKSON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2014

Surgery (license number reported to NPPES: AR N-8271)

🟒
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1215027883
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: June 08, 2021
Sole Proprietor: No

Mailing Address

Po Box 844658

Dallas, TX 752844658

Phone: 2547242111

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.