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Charles David Jackson, MD

NPI 1508800665ActiveIndividual· Pediatrics· Fayetteville, AR

Pediatrics (MD) in Fayetteville, Arkansas, licensed in AR, with an NPI issued in June 2006. Part D covered 43 prescriptions written in 2024, 100% of them generic. Boston Scientific Corporation reported $17.81 in payments in 2025, mostly food and beverage.

Overview

NPI1508800665
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJun 16, 2006
Last updated in NPPESDec 29, 2021
Certified by providerDec 29, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000XC-6427AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)43 · 93 30-day fills
Patients13
Total drug cost$496.12
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$17.81 · 1 payment from 1 company
  • 2024$48.00 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Boston Scientific Corporation$17.811

What the 2025 payments were for

  • Food and Beverage$17.81 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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