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DR. JAMES JACKSON D.O.
NPI 1356720122
Orthopaedic Surgery in Lake Charles, LA

Active since May 26, 2015PECOS Enrolled
92.32/100
CMS Quality Rating
4345 NELSON RD STE 101, LAKE CHARLES, LA 70605(337) 480-7942(337) 480-7964 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2022, Feb 4, 2022, Aug 3, 2021 (3 updates tracked since 2021).

About Dr. James Jackson D.o. NPPES

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

DR. JAMES JACKSON D.O. (NPI 1356720122) is an individual orthopaedic surgery provider in Lake Charles, Louisiana, licensed in Louisiana (327406) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (2015).

NPPES Registry Identity

NPI1356720122
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES JACKSONCredential: D.O.
Location Address4345 NELSON RD STE 101Lake Charles, LA 70605-4183
Mailing AddressPo Box 122165 Dept 2165Dallas, TX 75312-0001 · (337) 494-2921 · Fax (337) 494-6523
Phone(337) 480-7942
Fax(337) 480-7964
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2015
Enumeration DateMay 26, 2015
Last NPPES UpdateApril 27, 20223 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1356720122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in LA · 327406
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.
4345 NELSON RD STE 101, Lake Charles, LA 70605
Open in Google Maps ↗

Other Identifiers 2

Medicaid2571281LA
Other327406LA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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 (PECOS)

Dr. James Jackson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335454149
PECOS Enrollment IDI20210825003343
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 11

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.
322 services57 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.
157 services110 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
108 services68 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.
88 services73 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.
63 services48 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.
44 services29 patients

Hospital Affiliations CMS Care Compare 3

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

West Calcasieu Cameron Hospital

Acute Care Hospitals · Sulphur, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190013
Location701 East Cypress StreetSulphur, LA 70663 · Calcasieu County
Emergency services Birthing friendly

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190050
Location600 S Pine StreetDeridder, LA 70634 · Beauregard County
Emergency services Birthing friendly

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70605 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

92.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.23
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%328 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
53%85 patients3/55-star benchmark: 87%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
65%79 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%2,489 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%354 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
78%1,232 patients4/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 357 patients
8%357 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.

Other Providers at the Same Location NPPES 4

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

MORGAN HAY LEJEUNE APRN-CNP
Nurse Practitioner (Family)
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 480-7942
JACOB M THERIOT FNP-C
Nurse Practitioner (Family)
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 480-7942
CARLEE THERIOT CARROLL APRN, FNP-C
Nurse Practitioner (Family)
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 480-7942
MR. COLBY RYAN THIBODEAUX FNP
Nurse Practitioner (Family)
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 480-7942

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 James Jackson's NPI number?

The NPI number for James Jackson is 1356720122. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is James Jackson located?

James Jackson practices at 4345 Nelson Rd Ste 101, Lake Charles, LA 70605. The listed phone number is (337) 480-7942.

What is James Jackson's specialty?

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

Is James Jackson enrolled in Medicare?

Yes. James Jackson is registered in the Medicare PECOS enrollment system.

What insurance does James Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list James 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 James Jackson affiliated with any hospitals?

According to CMS data, James Jackson is affiliated with West Calcasieu Cameron Hospital, Beauregard Memorial Hospital and Lake Charles Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Jackson was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.