ATIBA DIARRA JACKSON M.D.
NPI 1033329990
Orthopaedic Surgery in Dayton, OH

Q: What is Atiba Jackson's NPI number?

The NPI number for Atiba Jackson is 1033329990. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Atiba Jackson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Atiba Jackson was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 22, 2007PECOS EnrolledAccepts Medicare Assignment

93.2/100

CMS Quality Rating

4160 LITTLE YORK RD, STE 10, DAYTON, OH 45414(937) 415-9100(937) 415-9191 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2016, Jun 27, 2016 (2 updates tracked since 2016).

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About Atiba Diarra Jackson M.d. NPPES

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

ATIBA DIARRA JACKSON M.D. (NPI 1033329990) is an individual orthopaedic surgery provider in Dayton, Ohio, licensed in Ohio (35.089443) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Cincinnati College Of Medicine And Surgery (2004).

NPPES Registry Identity

NPI1033329990

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameATIBA DIARRA JACKSONCredential: M.D.

Location Address4160 LITTLE YORK RD, STE 10Dayton, OH 45414-5803

Mailing Address4160 Little York Rd, Ste 10Dayton, OH 45414-5803 · (937) 415-9100 · Fax (937) 415-9191

Phone(937) 415-9100

Fax(937) 415-9191

Sole ProprietorYes

Medical School CMSCincinnati College Of Medicine And SurgeryGraduated 2004

Enumeration DateMay 22, 2007

Last NPPES UpdateSeptember 16, 20162 updates tracked since enumeration

✔ NPI 1033329990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in OH · 35.089443

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

4160 LITTLE YORK RD, Dayton, OH 45414

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Other Identifiers 1

Medicare PINH488460OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Atiba Diarra Jackson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547394025

PECOS Enrollment IDI20160913002667

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

860 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

119 services93 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

102 services71 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

52 services42 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

46 services41 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

44 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

41 services41 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

34 services30 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services22 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

19 services17 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

15 services14 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

15 services14 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

14 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360013

Location915 West Michigan StreetSidney, OH 45365 · Shelby County

Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360132

Location630 Eaton AvenueHamilton, OH 45013 · Butler County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45414 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers14 claims14 services$15.70 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CAMILLE RAE BOWSHIER P.T.

Physical Therapist (Orthopedic)

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

STEPHANIE JAE BUEHLER O.T.

Occupational Therapist

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

DR. TIMOTHY W HARMAN D.O.

Orthopaedic Surgery (Hand Surgery)

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

KELLY RONYAK OT

Occupational Therapist

4160 LITTLE YORK RD, SUITE 1
DAYTON, OH 45414

Montgomery County (937) 415-9100

HOLLY ANN WOLTERS P.A.

Physician Assistant

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

DR. GERARD M PAPP D.O.

Orthopaedic Surgery

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

RHONDA HOWARD OT

Occupational Therapist (Hand)

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

ZACHARY BAUM NP-C

Nurse Practitioner (Family)

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

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 Atiba Jackson's NPI number?

The NPI number for Atiba Jackson is 1033329990. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Atiba Jackson located?

Atiba Jackson practices at 4160 Little York Rd Ste 10, Dayton, OH 45414. The listed phone number is (937) 415-9100.

What is Atiba Jackson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Atiba Jackson enrolled in Medicare?

Yes. Atiba Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Atiba Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Atiba 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.

Is Atiba Jackson affiliated with any hospitals?

According to CMS data, Atiba Jackson is affiliated with Wilson Memorial Hospital, Fort Hamilton Hughes Memorial Hospital and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Atiba Jackson was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.