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NICHOLAS JACKSON
NPI 1205298387
Surgery in Louisville, KY

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 DUPONT RD, LOUISVILLE, KY 40207(502) 899-6150 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2017, Mar 28, 2016 (2 updates tracked since 2016).

About Nicholas Jackson NPPES

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

NICHOLAS JACKSON (NPI 1205298387) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (R4098) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Kentucky College Of Medicine (2016).

NPPES Registry Identity

NPI1205298387
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNICHOLAS JACKSON
Location Address1000 DUPONT RDLouisville, KY 40207-4611
Mailing Address1000 Dupont RdLouisville, KY 40207-4611 · (502) 899-6150 · Fax (502) 891-6368
Phone(502) 899-6150
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1205298387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · R4098
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1000 DUPONT RD, Louisville, KY 40207
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nicholas Jackson 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 ID547530503
PECOS Enrollment IDI20210820001598, I20210820003122
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 6

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.

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.
39 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services28 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.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 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.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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 40207 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY LEE JUHL MD
Surgery
1000 DUPONT RD, SUITE A
LOUISVILLE, KY 40207
Jefferson County (502) 899-6150
AMY M. CISSELL ARNP
Nurse Practitioner
1000 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 899-6405
BENJAMIN D TANNER MD
Surgery
1000 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 889-6405
JENNIFER AMANDA TRUMAN AGACNP-BC
Nurse Practitioner (Acute Care)
1000 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 899-6405
NATALIE GRAHAM STEPHENS MD
Surgery
1000 DUPONT RD, SUITE A
LOUISVILLE, KY 40207
Jefferson County (502) 899-6150
MS. STEPHANIE JO FARLEY LCSW
Social Worker (Clinical)
1000 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 899-6405
RITA L MUY RD
Dietitian, Registered
1000 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 899-6405
KIRBY LASHAY VAN LIEROP LCSW
Social Worker (Clinical)
1000 DUPONT RD
LOUISVILLE, KY 40207
Jefferson County (502) 899-6405

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 Nicholas Jackson's NPI number?

The NPI number for Nicholas Jackson is 1205298387. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Nicholas Jackson located?

Nicholas Jackson practices at 1000 Dupont Rd, Louisville, KY 40207. The listed phone number is (502) 899-6150.

What is Nicholas Jackson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas Jackson enrolled in Medicare?

Yes. Nicholas 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 Nicholas Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nicholas 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 Nicholas Jackson affiliated with any hospitals?

According to CMS data, Nicholas Jackson is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Nicholas Jackson was last updated on August 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.