ANDREW THOMAS JACKSON M.D.
NPI 1093056988
Orthopaedic Surgery in Savannah, GA

Active since March 03, 2013PECOS EnrolledAccepts Medicare Assignment
96.36/100
CMS Quality Rating
210 E DERENNE AVE, SAVANNAH, GA 31405(912) 644-5300(912) 644-5241 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2019, Jan 7, 2019, Jan 5, 2019 and 1 more (4 updates tracked since 2018).

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 orthopaedic surgery provider in Savannah, Georgia, licensed in Georgia (081265) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1093056988
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW THOMAS JACKSONCredential: M.D.
Location Address210 E DERENNE AVESavannah, GA 31405-6736
Mailing Address210 E Derenne AveSavannah, GA 31405-6736 · (912) 644-5300 · Fax (912) 644-5241
Fax(912) 644-5241
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013
Enumeration DateMarch 3, 2013
Last NPPES UpdateOctober 24, 20194 updates tracked since enumeration
NPI 1093056988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in GA · 081265 Licensed in SC · 52399
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 28038 (NE)
210 E DERENNE AVE, Savannah, GA 31405

Secondary Practice Locations 8

Location 11061 Harmon AveFort Stewart, GA 31314-5641 · Phone (912) 435-6965
Location 216915 Highway 67 Ste AStatesboro, GA 30458-5819 · Phone (912) 681-2500 · Fax (912) 681-2025
Location 360 Exchange St Ste B1Richmond Hill, GA 31324-7646 · Phone (912) 756-2273 · Fax (912) 756-3773
Location 4602 E Long StClaxton, GA 30417-5914 · Phone (912) 739-3275 · Fax (912) 439-4011
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 78 N Williams StMetter, GA 30439-4547 · Phone (912) 685-3550 · Fax (912) 685-3553
Location 8166 Memorial DrJesup, GA 31545-0101 · Phone (912) 427-0800 · Fax (912) 427-6029

Other Identifiers 2

Medicaid003209886AGA
Medicaid523990SC

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

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.

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

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 St Francis Hospital

Critical Access Hospitals · Mountain View, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261335
Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31405 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

96.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.23
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiologist Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
210 E DERENNE AVE
SAVANNAH, GA 31405
Orthopaedic Surgery
210 E DERENNE AVE
SAVANNAH, GA 31405
Orthopaedic Surgery (Sports Medicine)
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
Physical Therapist
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant (Medical)
210 E DERENNE AVE
SAVANNAH, GA 31405

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 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.

Where is Andrew Jackson located?

Andrew Jackson practices at 210 E Derenne Ave, Savannah, GA 31405. The listed phone number is (912) 644-5300.

What is Andrew Jackson's specialty?

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

Is Andrew Jackson enrolled in Medicare?

Yes. Andrew 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 Andrew Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Andrew 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 Andrew Jackson affiliated with any hospitals?

According to CMS data, Andrew Jackson is affiliated with Mercy Hospital Lebanon, Mercy Hospital Springfield and Mercy St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Jackson was last updated on October 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.