JACKSON GEORGE UNTERINER MD
NPI 1053874776
Radiology - Diagnostic Radiology in Louisville, KY

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 447-8786(502) 447-8786 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Jul 3, 2020, Jun 28, 2020 and 1 more (4 updates tracked since 2019).

About Jackson George Unteriner Md NPPES

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

JACKSON GEORGE UNTERINER MD (NPI 1053874776) is an individual diagnostic radiology provider in Louisville, Kentucky, licensed in Kentucky (60448) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1053874776
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJACKSON GEORGE UNTERINERCredential: MD
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing Address9152 Taylorsville Rd # 276Louisville, KY 40299-1752 · (502) 447-8786 · Fax (502) 447-8623
Fax(502) 447-8786
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateSeptember 29, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1053874776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in KY · 60448 Licensed in MO · 2020011736
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 60448 (KY)
1 AUDUBON PLAZA DR, Louisville, KY 40217

Secondary Practice Location 1

Location 19152 Taylorsville Rd # 276Louisville, KY 40299-1752 · Phone (502) 447-8786 · Fax (502) 447-8623

Other Identifiers 2

Medicaid300110382IN
Medicaid7101050170KY

Accepted 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

Jackson George Unteriner Md 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 ID6002141991
PECOS Enrollment IDI20250409000387, I20250410001438
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.

Hospital Affiliations CMS Care Compare 3

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Scott Memorial Health

Critical Access Hospitals · Scottsburg, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number151334
Location1451 N Gardner StScottsburg, IN 47170 · Scott County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217

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 Jackson Unteriner's NPI number?

The NPI number for Jackson Unteriner is 1053874776. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Jackson Unteriner located?

Jackson Unteriner practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 447-8786.

What is Jackson Unteriner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jackson Unteriner enrolled in Medicare?

Yes. Jackson Unteriner 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 Jackson Unteriner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Jackson Unteriner 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 Jackson Unteriner affiliated with any hospitals?

According to CMS data, Jackson Unteriner is affiliated with Clark Memorial Hospital, Scott Memorial Health and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Jackson Unteriner was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.