RICHARD J JACKSON MD
NPI 1215027883
Surgery - Pediatric Surgery in Temple, TX

Q: What is Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1215027883. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Richard Jackson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Richard Jackson was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2006PECOS Enrolled

1901 SW H K DODGEN LOOP, TEMPLE, TX 76502(254) 935-4000(254) 935-4111 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2021, Sep 15, 2020, Oct 14, 2019 (3 updates tracked since 2019).

On this page

About Richard J Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD J JACKSON MD (NPI 1215027883) is an individual pediatric surgery provider in Temple, Texas, licensed in Texas (N3094) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215027883

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameRICHARD J JACKSONCredential: MD

Location Address1901 SW H K DODGEN LOOPTemple, TX 76502-3500

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111

Phone(254) 935-4000

Fax(254) 935-4111

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJune 8, 20213 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1215027883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in TX · N3094✔ Licensed in AR · N-8271

Definition

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

1901 SW H K DODGEN LOOP, Temple, TX 76502

Open in Google Maps ↗

Other Identifiers 5

Medicaid125912907TX

Medicaid121627001AR

Medicaid140442852TX

Medicaid125912908TX

Medicaid137345810TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard J Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Richard Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences

383 mi

Adolescent Medicine

9015 DAILEY DR
Little Rock, AR 72209

Reassigned Medicare billing, Arkansas enrollment
1,246 clinicians in this Medicare group

NPI 1285307744 (501) 364-6560

Arkansas Childrens Hospital

391 mi

Pediatrics

1 CHILDRENS WAY # 664
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
944 clinicians in this Medicare group

NPI 1598773079 (501) 364-2526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GINA MARIE HEISS HARRIS RNC, NNP

Nurse Practitioner (Neonatal, Critical Care)

1901 SW H K DODGEN LOOP
TEMPLE, TX 76502

Bell County (254) 724-5437

VAN STEVEN MASK M.D.

Emergency Medicine (Emergency Medical Services)

1901 SW H K DODGEN LOOP
TEMPLE, TX 76502

Bell County (254) 771-8600

DR. MADHAVA REDDY BEERAM M.D.

Pediatrics

1901 SW H K DODGEN LOOP
TEMPLE, TX 76502

Bell County (254) 935-4000

BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.

Pharmacy (Community/Retail Pharmacy)

1901 SW H K DODGEN LOOP, BUILDING 300
TEMPLE, TX 76502

Bell County (254) 935-4888

MARIE ALLYSON MANNING MD

Emergency Medicine

1901 SW H K DODGEN LOOP
TEMPLE, TX 76502

Bell County (254) 724-5437

KING'S DAUGHTERS HOSPITAL ASSOCIATION

Skilled Nursing Facility

1901 SW H K DODGEN LOOP
TEMPLE, TX 76502

Bell County (254) 771-8600

EDWIN HERNANDEZ CARO MD

Pediatrics (Pediatric Pulmonology)

1901 SW H K DODGEN LOOP
TEMPLE, TX 76502

Bell County (254) 724-5437

TRACI BARTZ OTR

Occupational Therapist (Pediatrics)

1901 SW H K DODGEN LOOP
TEMPLE, TX 76502

Bell County (254) 724-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1215027883. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Richard Jackson located?

Richard Jackson practices at 1901 SW H K Dodgen Loop, Temple, TX 76502. The listed phone number is (254) 935-4000.

What is Richard Jackson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Richard Jackson enrolled in Medicare?

Yes. Richard Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Jackson reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Richard Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Jackson was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.