JOHN DOUGLAS HALTOM JR. MD
NPI 1205948254
Orthopaedic Surgery - Sports Medicine in Jackson, TN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
85.42/100
CMS Quality Rating
24 PHYSICIANS DR, JACKSON, TN 38305(731) 661-9825(731) 668-6757 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Douglas Haltom Jr. Md NPPES

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

JOHN DOUGLAS HALTOM JR. MD (NPI 1205948254) is an individual sports medicine provider in Jackson, Tennessee, licensed in Tennessee (MD44752) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2002).

NPPES Registry Identity

NPI1205948254
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJOHN DOUGLAS HALTOM JR.Credential: MD
Location Address24 PHYSICIANS DRJackson, TN 38305-2070
Mailing Address24 Physicians DrJackson, TN 38305-2070 · (731) 661-9825 · Fax (731) 668-6757
Fax(731) 668-6757
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2002
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 2, 2015
NPI 1205948254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in TN · MD44752
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD44752 (TN)
24 PHYSICIANS DR, Jackson, TN 38305

Other Identifiers 2

Medicaid1517709TN
Medicare PIN103I206047TN

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

John Douglas Haltom Jr. Md 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 ID2365543550
PECOS Enrollment IDI20090911000227
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 25

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, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
2,176 services20 patients
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.
375 services116 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.
242 services181 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
220 services124 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
201 services39 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.
199 services110 patients

Hospital Affiliations CMS Care Compare 3

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

Lauderdale Community Hospital

Critical Access Hospitals · Ripley, TN
OwnershipProprietary
CMS Certification Number441314
Location340 Asbury AvenueRipley, TN 38063 · Lauderdale 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.

85.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40
Cost60.58

Reported Quality Measures

Documentation of Current Medications in the Medical Record
48%1,958 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%571 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
62%1,019 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,518 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,954 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 52% · 1,109 patients
Patients screened: 57% · 1,109 patients
51%130 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 588 patients
Patients totalRate: 2% · 588 patients
2%588 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers31 claims31 services$58.63 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.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
24 PHYSICIANS DR
JACKSON, TN 38305
Occupational Therapist
24 PHYSICIANS DR
JACKSON, TN 38305
Physical Therapist
24 PHYSICIANS DR
JACKSON, TN 38305
Physical Therapist
24 PHYSICIANS DR
JACKSON, TN 38305
Registered Nurse
24 PHYSICIANS DR
JACKSON, TN 38305
Physical Therapist
24 PHYSICIANS DR
JACKSON, TN 38305
Orthopaedic Surgery (Sports Medicine)
24 PHYSICIANS DR
JACKSON, TN 38305
Orthopaedic Surgery
24 PHYSICIANS DR
JACKSON, TN 38305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205948254, enumerated as an "individual" on August 31, 2006.

The provider is located at 24 PHYSICIANS DR JACKSON, TN 38305 and the phone number is (731) 661-9825.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee,. Please consult your insurance carrier or call the provider to verify.

John Haltom is affiliated with: JACKSON-MADISON COUNTY GENERAL HOSPITAL, DYERSBURG REGIONAL MEDICAL CENTER and LAUDERDALE COMMUNITY HOSPITAL.