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DR. DEREK THACKER M.D.
NPI 1538570544
Surgery in Jackson, TN

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
95.73/100
CMS Quality Rating
395 HOSPITAL BLVD, JACKSON, TN 38305(731) 664-7395 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2021, Jun 23, 2020 (2 updates tracked since 2020).

About Dr. Derek Thacker M.d. NPPES

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

DR. DEREK THACKER M.D. (NPI 1538570544) is an individual surgery provider in Jackson, Tennessee, licensed in Tennessee (61910) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1538570544
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DEREK THACKERCredential: M.D.
Location Address395 HOSPITAL BLVDJackson, TN 38305-2080
Mailing Address250 Fleets Island DrMemphis, TN 38103-9019 · (256) 606-8372
Phone(731) 664-7395
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2014
Enumeration DateMay 13, 2014
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1538570544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 61910
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
395 HOSPITAL BLVD, Jackson, TN 38305
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 N State St, Department of SurgeryJackson, MS 39216-4500 · Phone (601) 984-5101 · Fax (901) 984-5110

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.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

Dr. Derek Thacker 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 ID3678899069
PECOS Enrollment IDI20200908000015
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 Derek Thacker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Tennessee Medical Group Inc
3.4 mi
Internal Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 242 clinicians in this Medicare group
NPI 1053615955 (731) 660-8730

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 4

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
71 services70 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services17 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.
18 services18 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.
13 services13 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

Henry County Medical Center

Acute Care Hospitals · Paris, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440132
Location301 Tyson AvParis, TN 38242 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

95.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.39
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

JANICE HUTCHERSON RNFA
Registered Nurse (Registered Nurse First Assistant)
395 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 664-7395
DAVID J SOLL MD
Obstetrics & Gynecology
395 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 660-3344
JAMES DANIEL DAY MD
Surgery
395 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 664-7395
DEAN P CURRIE MD
Surgery
395 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 664-7395
DR. GARRISON BERRY SMITH M.D.
Surgery
395 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 664-7395
DAVID M LAIRD MD
Surgery
395 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 664-7395
BRANDY BARGER CSTFA
Specialist/Technologist, Other (Surgical Assistant)
395 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 664-7395
DAVID VILLARREAL MD
Surgery
395 HOSPITAL BLVD
JACKSON, TN 38305
Madison County (731) 664-7395

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 Derek Thacker's NPI number?

The NPI number for Derek Thacker is 1538570544. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Derek Thacker located?

Derek Thacker practices at 395 Hospital Blvd, Jackson, TN 38305. The listed phone number is (731) 664-7395.

What is Derek Thacker's specialty?

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

Is Derek Thacker enrolled in Medicare?

Yes. Derek Thacker 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 Derek Thacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Thacker reassigns Medicare benefits to West Tennessee Medical Group Inc (Jackson, TN). 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 Derek Thacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Thacker accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Derek Thacker 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 Derek Thacker affiliated with any hospitals?

According to CMS data, Derek Thacker is affiliated with Jackson-Madison County General Hospital, Dyersburg Regional Medical Center and Henry County Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Thacker was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.