LYLE THOMAS JACKSON JR. M.D.
NPI 1144540790
Orthopaedic Surgery - Foot and Ankle Surgery in Eugene, OR

Q: What is Lyle Jackson's NPI number?

The NPI number for Lyle Jackson is 1144540790. It was assigned to this individual provider in the NPPES registry on June 6, 2010.

Q: What is Lyle Jackson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Q: When was this NPI record last updated?

The NPPES record for Lyle Jackson was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 06, 2010PECOS EnrolledAccepts Medicare Assignment

93.57/100

CMS Quality Rating

55 COBURG RD, EUGENE, OR 97401(541) 485-8111 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2022, Jul 28, 2020, Feb 13, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Lyle Thomas Jackson Jr. M.d. NPPES

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

LYLE THOMAS JACKSON JR. M.D. (NPI 1144540790) is an individual foot and ankle surgery provider in Eugene, Oregon, licensed in Oregon (MD176209) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Mckenzie-willamette Medical Center, and maintains a secondary practice location in Reno.

NPPES Registry Identity

NPI1144540790

Entity TypeIndividualMale

Primary Taxonomy207XX0004X

Provider Legal NameLYLE THOMAS JACKSON JR.Credential: M.D.

Location Address55 COBURG RDEugene, OR 97401-2433

Mailing Address55 Coburg RdEugene, OR 97401-2433 · (541) 485-8111 · Fax (541) 342-6379

Phone(541) 485-8111

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2010

Enumeration DateJune 6, 2010

Last NPPES UpdateDecember 27, 20225 updates tracked since enumeration

NPPES CertifiedDecember 27, 2022

✔ NPI 1144540790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

Licenses✔ Licensed in OR · MD176209✔ Licensed in NV · 16057

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 32738 (SC), 16057 (NV)

55 COBURG RD, Eugene, OR 97401

Open in Google Maps ↗

Secondary Practice Location 1

Location 1555 N Arlington AveReno, NV 89503-4723 · Phone (775) 786-3040 · Fax (775) 786-1358

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Lyle Thomas Jackson Jr. 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 ID6103075486

PECOS Enrollment IDI20160802002711

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 Reassignment

Medicare enrollment records show Lyle Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Slocum Orthopedics, PC

Same address

Orthopaedic Surgery

55 COBURG RD
Eugene, OR 97401

Reassigned Medicare billing, Oregon enrollment
52 clinicians in this Medicare group

NPI 1881694867 (541) 485-8111

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 20

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.

225 services156 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

148 services109 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.

140 services121 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

106 services80 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

93 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.

53 services53 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.

42 services34 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.

37 services29 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

36 services32 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.

34 services34 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

28 services13 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.

26 services21 patients

Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038

A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.

26 services15 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.

24 services23 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.

23 services22 patients

X-ray of heel, minimum of 2 views 73650

An X-ray of the heel, minimum of 2 views, is a diagnostic procedure where safe radiation beams capture images of your heel from at least two different angles. This helps in identifying issues such as fractures, bone spurs, or arthritis. You'll remain still while the images are taken.

20 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services18 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

19 services18 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

13 services11 patients

X-ray of ankle, 2 views 73600

An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.

13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380020

Location1460 G StreetSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380102

Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Lower Umpqua Hospital District

Critical Access Hospitals · Reedsport, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381311

Location600 Ranch RoadReedsport, OR 97467 · Douglas County

Emergency services

Peace Harbor Medical Center

Critical Access Hospitals · Florence, OR

OwnershipVoluntary non-profit - Church

CMS Certification Number381316

Location400 9th StreetFlorence, OR 97439 · Lane County

Emergency services Birthing friendly

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.

93.57/100

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

Scored as part of a group practice

Quality

85.33

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers13 claims14 services$25.92 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier35 claims35 services$273.91 avg. paid by Medicare

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

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.

RUDOLF HOELLRICH MD

Orthopaedic Surgery

55 COBURG RD
EUGENE, OR 97401

Lane County (541) 485-8111

KATIE L KOWALSKI PT

Physical Therapist

55 COBURG RD
EUGENE, OR 97401

Lane County (541) 485-8111

JULIAN KLOSOWIAK MD

Plastic Surgery

55 COBURG RD
EUGENE, OR 97401

Lane County (541) 485-8111

SLOCUM ORTHOPEDICS PC

Orthopaedic Surgery

55 COBURG RD
EUGENE, OR 97401

Lane County (541) 485-8111

SLOCUM ORTHOPEDICS PC

Orthopaedic Surgery

55 COBURG RD
EUGENE, OR 97401

Lane County (541) 485-8111

TREK LYONS MD

Family Medicine (Sports Medicine)

55 COBURG RD
EUGENE, OR 97401

Lane County (541) 485-8111

SARA M HUFFMAN PA-C

Physician Assistant

55 COBURG RD
EUGENE, OR 97401

Lane County (541) 485-8111

STEVEN M ROBERT DPT

Physical Medicine & Rehabilitation

55 COBURG RD
EUGENE, OR 97401

Lane County (541) 485-8111

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 Lyle Jackson's NPI number?

The NPI number for Lyle Jackson is 1144540790. It was assigned to this individual provider in the NPPES registry on June 6, 2010.

Where is Lyle Jackson located?

Lyle Jackson practices at 55 Coburg Rd, Eugene, OR 97401. The listed phone number is (541) 485-8111.

What is Lyle Jackson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Lyle Jackson enrolled in Medicare?

Yes. Lyle 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.

Which organization bills Medicare for Lyle Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyle Jackson reassigns Medicare benefits to Slocum Orthopedics, PC (Eugene, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lyle Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lyle Jackson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Lyle 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 Lyle Jackson affiliated with any hospitals?

According to CMS data, Lyle Jackson is affiliated with Mckenzie-Willamette Medical Center, Sacred Heart Medical Center - Riverbend, Lower Umpqua Hospital District and Peace Harbor Medical Center.

When was this NPI record last updated?

The NPPES record for Lyle Jackson was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.