Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW THOMAS JACKSON M.D.
NPI 1093056988
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Ozark, MO

Q: What is Andrew Jackson's NPI number?

The NPI number for Andrew Jackson is 1093056988. It was assigned to this individual provider in the NPPES registry on March 3, 2013.

Q: What is Andrew Jackson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Jackson was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 March 03, 2013PECOS EnrolledAccepts Medicare Assignment

96.36/100

CMS Quality Rating

3050 E RIVER BLUFF BLVD, OZARK, MO 65721(417) 820-5610 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Oct 24, 2019, Jan 7, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Andrew Thomas Jackson M.d. NPPES

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

ANDREW THOMAS JACKSON M.D. (NPI 1093056988) is an individual adult reconstructive orthopaedic surgery provider in Ozark, Missouri, licensed in Missouri (2023005796) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1093056988

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameANDREW THOMAS JACKSONCredential: M.D.

Location Address3050 E RIVER BLUFF BLVDOzark, MO 65721-8807

Mailing Address210 E Derenne AveSavannah, GA 31405-6736 · (912) 644-5300 · Fax (912) 644-5241

Phone(417) 820-5610

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013

Enumeration DateMarch 3, 2013

Last NPPES UpdateOctober 15, 20265 updates tracked since enumeration

NPPES CertifiedOctober 15, 2026

✔ NPI 1093056988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in MO · 2023005796

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 081265 (GA), 52399 (SC)

3050 E RIVER BLUFF BLVD, Ozark, MO 65721

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Secondary Practice Locations 9

Location 1166 Memorial DrJesup, GA 31545-0101 · Phone (912) 427-0800 · Fax (912) 427-6029

Location 21061 Harmon AveFort Stewart, GA 31314-5641 · Phone (912) 435-6965

Location 3602 E Long StClaxton, GA 30417-5914 · Phone (912) 739-3275 · Fax (912) 439-4011

Location 48 N Williams StMetter, GA 30439-4547 · Phone (912) 685-3550 · Fax (912) 685-3553

Location 5810 Towne Park Dr Ste 200Rincon, GA 31326-5167 · Phone (912) 826-2533 · Fax (912) 826-2572

Location 6101 W Mulberry Blvd, Ste 140Pooler, GA 31322 · Phone (912) 748-5111 · Fax (912) 748-6699

Location 716915 Highway 67 Ste AStatesboro, GA 30458-5819 · Phone (912) 681-2500 · Fax (912) 681-2025

Location 860 Exchange St Ste B1Richmond Hill, GA 31324-7646 · Phone (912) 756-2273 · Fax (912) 756-3773

Location 9210 E DeRenne AveSavannah, GA 31405-6736 · Phone (912) 644-5300 · Fax (912) 644-5241

Other Identifiers 2

Medicaid523990SC

Medicaid003209886AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Thomas 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 ID8729309042

PECOS Enrollment IDI20230905002369

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Springfield Communities

4.6 mi

Family Medicine

3231 S NATIONAL AVE STE 220
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
1,487 clinicians in this Medicare group

NPI 1245277631 (855) 420-7900

Optim Orthopedics LLC

613 mi

Orthopaedic Surgery

121 N CREST BLVD
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
115 clinicians in this Medicare group

NPI 1376042796 (478) 841-9333

Orthopaedic Clinical Assoc Inc.

1,229 mi

Specialist

91 PARKER HILL AVE
Roxbury Crossing, MA 02120

Reassigned Medicare billing, Massachusetts enrollment
55 clinicians in this Medicare group

NPI 1578528949 (617) 754-6742

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

372 services56 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.

122 services90 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

88 services87 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.

87 services58 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

73 services66 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.

69 services69 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.

41 services35 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.

40 services38 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.

33 services31 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

33 services33 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

29 services25 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.

14 services14 patients

X-ray of pelvis, minimum of 3 views 72190

An X-ray of the pelvis with a minimum of 3 views is a diagnostic procedure that uses radiation to create images of your lower body area. This helps in detecting issues like fractures, arthritis, or other abnormalities. It's quick, non-invasive, and typically painless.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260059

Location100 Hospital DriveLebanon, MO 65536 · Laclede County

Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Mercy Hospital - Cassville

Critical Access Hospitals · Cassville, MO

OwnershipVoluntary non-profit - Church

CMS Certification Number261317

Location94 Main StreetCassville, MO 65625 · Barry County

Emergency services

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.

96.36/100

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

Scored through an Alternative Payment Model

Quality

86.23

Promoting Interoperability

100

Improvement Activities

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.

RICHARD AUGUSTUS SEAGRAVE III MD

Orthopaedic Surgery