Active NPI
Matthew W Jackman, DPM
- Foot & Ankle Surgery Podiatrist
- Denison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Texoma Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.22 of 100
- Quality
- 68.32
- Promoting interoperability
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 200 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 342 |
| Removal or shaving of skin growth | 287 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279 | OK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Partners PLLC | Podiatrist | Current | Accepting new patients |
| Interventional Partners PLLC | Podiatrist | Current | 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
- matthew.jackman.1@2477.direct.athenahealth.com
- 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.
-
- Vascular & Interventional Radiology Physician
- Addison, TX
- NPI 1750814737
Podiatrist
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1891513677
Podiatrist
-
- General Acute Care Hospital
- Sherman, TX
- NPI 1013957836
-
- Podiatrist
- Sherman, TX
- NPI 1548201593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sherman, TX
- NPI 1235510090
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.