DR. JOHN RONALD JACKSON M.D.
NPI 1114922911
Obstetrics & Gynecology in Edgewood, KY

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
20 MEDICAL VILLAGE DR, STE 302, EDGEWOOD, KY 41017(859) 341-2510(859) 578-5888 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Ronald Jackson M.d. NPPES

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

DR. JOHN RONALD JACKSON M.D. (NPI 1114922911) is an individual obstetrics & gynecology provider in Edgewood, Kentucky, licensed in Kentucky (34447) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of University Of Louisville School Of Medicine (1996).

NPPES Registry Identity

NPI1114922911
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOHN RONALD JACKSONCredential: M.D.
Location Address20 MEDICAL VILLAGE DR, STE 302Edgewood, KY 41017-5402
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 341-2510 · Fax (859) 578-2004
Fax(859) 578-5888
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1996
Enumeration DateJune 17, 2005
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
NPI 1114922911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in KY · 34447 Licensed in OH · 35. 073600
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

20 MEDICAL VILLAGE DR, Edgewood, KY 41017

Other Identifiers 2

Medicaid3003565OH
Medicaid7100093740KY

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

Dr. John Ronald 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 ID3173665858
PECOS Enrollment IDI20100119000069
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

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.

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.
18 services12 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

Durable Medical Equipment & Medical Supplies
20 MEDICAL VILLAGE DR, SUITE 103
EDGEWOOD, KY 41017
Anesthesiology
20 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS. PSC
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR, SUITE 258
EDGEWOOD, KY 41017
Surgery
20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017
Internal Medicine (Cardiovascular Disease)
20 MEDICAL VILLAGE DR, STE. 177
EDGEWOOD, KY 41017
Internal Medicine (Interventional Cardiology)
20 MEDICAL VILLAGE DR, STE. 177
EDGEWOOD, KY 41017
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017

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 John Jackson's NPI number?

The NPI number for John Jackson is 1114922911. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is John Jackson located?

John Jackson practices at 20 Medical Village Dr Ste 302, Edgewood, KY 41017. The listed phone number is (859) 341-2510.

What is John Jackson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Jackson enrolled in Medicare?

Yes. John 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 John Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list John 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 John Jackson affiliated with any hospitals?

According to CMS data, John Jackson is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for John Jackson was last updated on April 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.