Doctor profile · Federal record

Dr. Wallace Jackmon, PHD

Clinical Psychologist · Sioux Falls, SD

  • NPI 1427020957
  • Accepts Medicare
  • 19 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4400 W 69Th St, Ste 1500
Sioux Falls, SD 571088170
(605) 322-5700
fax (605) 322-5704
Mailing address
Po Box 86370
Sioux Falls, SD 571186370

Credentials & registration

NPPES · NUCC
NPI registered
February 2006 — 20 yrs on file
Profile last updated
October 11, 2018
Year of graduation
2007 — 19 yrs since
Specialty taxonomy
103TC0700X — NUCC code
State license (1)
South Dakota #477
Medicaid (6)
ND #12200 · NE #46022474352 · MN #944611700 · SD #6552790 · SD #6570753 · IA #3989442

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1427020957. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
113
Distinct HCPCS
1
Medicare allowed
$14,261
HCPCS Description Services Patients Avg allowed
90837 Psychotherapy, 1 hour 113 14 $126

In context: peer comparison

Among 5 peers in this city , average services per provider: 81. This provider delivers 1.4× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Wallace Jackmon's medical specialty?
Dr. Wallace Jackmon practices Clinical Psychologist in Sioux Falls, SD.
Where does Dr. Wallace Jackmon practice?
Dr. Wallace Jackmon practices at 4400 W 69Th St, Sioux Falls, SD 571088170. Office phone: 6053225700.
What is Dr. Wallace Jackmon's NPI?
Dr. Wallace Jackmon's National Provider Identifier (NPI) is 1427020957, issued by NPPES.
Does Dr. Wallace Jackmon accept Medicare assignment?
Yes. Dr. Wallace Jackmon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Wallace Jackmon commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837). Source: CMS Medicare Physician & Other Practitioners file.