Individual provider Active NPI

Matthew W Jackman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Denison, TX
National Provider Identifier
1386619716
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1782 Issued in TX
Practice address
101 N US Highway 75
Denison, TX 75020-1544
Phone
(903) 463-1000
Fax
(833) 974-2040
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1782 TX
Primary Podiatric Medicine Podiatrist 213EP1101X 1782 TX
Sports Medicine Podiatrist 213ES0000X 1782 TX
Foot Surgery Podiatrist 213ES0131X 1782 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1782 TX Primary

Addresses

Primary practice location

101 N US Highway 75
Denison, TX 75020-1544

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472
Phone (469) 850-5760

Other practice location 1

450 N Standridge Blvd Ste 202
Anna, TX 75409-3424
Phone (972) 905-3919

Other practice location 2

604 W White St Ste A
Anna, TX 75409-3506
Phone (972) 905-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060926000073 TX Practitioner - Podiatry 1456356427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

101 N US Hwy 75
Denison, TX 75020-1544
Phone (903) 463-1000

2150 N Josey LN
Suite 202
Carrollton, TX 75006-2912
Phone (972) 242-0660

251 W Medical Ctr Blvd
Suite 200
Webster, TX 77598-4242
Phone (866) 552-4866

5575 Warren Pkwy
Suite 101
Frisco, TX 75034-4066
Phone (972) 712-4161

Hospital & facility affiliations

  • Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score
81.22 of 100Reported as individual
Quality
68.32
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue200
Removal of skin lesions1-10
Removal of nail tissue342
Removal or shaving of skin growth287
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
279OKMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC Podiatrist CurrentSince Jan 1, 2020 Accepting new patients
Interventional Partners PLLC Podiatrist CurrentSince Jan 1, 2020 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Steve W Hayes DPM PA Podiatrist Past Accepting new patients

Locations

450 N Standridge Blvd
Ste 202
Anna, TX 75409
Phone (903) 218-0628

604 W White St
Ste A
Anna, TX 75409
Phone (903) 364-4525

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

101 N US Highway 75
Denison, TX 75020
Phone (903) 463-1000

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: matthew.jackman.1@2477.direct.athenahealth.com
  • Direct secure messaging: matthewjackman@wnjrmc.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1386619716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "469-850-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N US HIGHWAY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201544",
            "telephone_number": "903-463-1000",
            "fax_number": "833-974-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N Standridge Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "TX",
            "postal_code": "754093424",
            "country_code": "US",
            "telephone_number": "972-905-3919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 W White St Ste A",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "TX",
            "postal_code": "754093506",
            "country_code": "US",
            "telephone_number": "972-905-3919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1782",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1782",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "1782",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1782",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.