DR. JAMES BENJAMIN JACKSON III MD
NPI 1912165234
Orthopaedic Surgery in Lexington, SC

Q: What is James Jackson's NPI number?

The NPI number for James Jackson is 1912165234. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Q: What is James Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Jackson was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 May 23, 2008PECOS EnrolledAccepts Medicare Assignment

99.32/100

CMS Quality Rating

104 SALUDA POINTE DR, LEXINGTON, SC 29072(803) 296-7846(803) 296-9699 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. James Benjamin Jackson Iii Md NPPES

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

DR. JAMES BENJAMIN JACKSON III MD (NPI 1912165234) is an individual orthopaedic surgery provider in Lexington, South Carolina, licensed in South Carolina (37261) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1912165234

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES BENJAMIN JACKSON IIICredential: MD

Location Address104 SALUDA POINTE DRLexington, SC 29072-7295

Mailing AddressPo Box 22265Belfast, ME 04915-4473 · (803) 296-7846 · Fax (803) 296-9699

Phone(803) 296-7846

Fax(803) 296-9699

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateMay 23, 2008

Last NPPES UpdateFebruary 19, 2026

NPPES CertifiedFebruary 19, 2026

✔ NPI 1912165234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in SC · 37261

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.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 37261 (SC)

104 SALUDA POINTE DR, Lexington, SC 29072

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Secondary Practice Location 1

Location 12 Medical Park Rd, Lower Level Suite L9/L10Columbia, SC 29203-6808 · Phone (803) 434-6812 · Fax (803) 434-7306

Other Identifiers 1

Medicaid372616SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Dr. James Benjamin Jackson Iii 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 ID2860626165

PECOS Enrollment IDI20141015002485

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 Reassignments

Medicare enrollment records show James Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health Medical Group-Midlands

5.3 mi

Interventional Cardiology

300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212

Reassigned Medicare billing, South Carolina enrollment
1,466 clinicians in this Medicare group

NPI 1003307166 (803) 765-0871

South Carolina Dept Of Mental Health Accounting Office

6.7 mi

Community/Behavioral Health

2414 BULL ST, ATTN: TDE GRANT OF TELEPSYCHIATRY
Columbia, SC 29201

Reassigned Medicare billing, South Carolina enrollment
133 clinicians in this Medicare group

NPI 1831338961 (803) 898-7183

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 15

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 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.

265 services201 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.

254 services160 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.

156 services103 patients

Incision of toe joint capsule 28272

An incision of the toe joint capsule is a surgical procedure where a small cut is made to access the joint capsule in your toe. This can help to relieve pain or pressure, correct deformities, or treat certain conditions. Your doctor will discuss the details and potential benefits with you.

87 services27 patients

Incision of toe joint capsule 28272

87 services30 patients

Repair of multiple toe tendons 28011

The repair of multiple toe tendons is a surgery aimed at mending damaged tendons in your toes. This procedure helps restore normal toe function, improve mobility, and alleviate pain. It's typically carried out under anesthesia. Recovery may involve physical therapy.

86 services27 patients

Repair of multiple toe tendons 28011

82 services28 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.

67 services62 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.

34 services33 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.

28 services28 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

24 services12 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.

21 services19 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.

17 services15 patients

Application of short leg cast 29405

The application of a short leg cast is a procedure to stabilize and support the lower leg or foot after an injury. A special material is wrapped around the leg, hardening to form a protective shell. This helps to keep the bones in place, reduce pain, and promote healing.

15 services13 patients

Incision or partial removal of toe bone to straighten toe 28312

This procedure involves making a small cut or removing a portion of the toe bone to help straighten the toe. It's typically done to correct conditions like hammertoe, where the toe bends abnormally. This can alleviate pain and improve toe alignment.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420018

Location5 Medical ParkColumbia, SC 29203 · Richland County

Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420086

Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County

Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420106

Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

99.32/100

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

Scored through an Alternative Payment Model

Quality

90.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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 suppliers24 claims24 services$14.12 avg. paid by Medicare

Heavy duty wheelchair K0006

DME-Wheelchairs · category DD000N

1 supplier17 claims17 services$49.94 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers24 claims24 services$7.19 avg. paid by Medicare

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

3 suppliers13 claims13 services$49.53 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.

THOMAS ALLEN

Specialist/Technologist (Athletic Trainer)

104 SALUDA POINTE DR
LEXINGTON, SC 29072

Lexington County (803) 227-8000

MRS. REBEKAH H GASTON M.E.D, ATC

Specialist/Technologist (Athletic Trainer)

104 SALUDA POINTE DR
LEXINGTON, SC 29072

Lexington County (803) 315-6863

ROBERT INGLE MSED, ATC

Specialist/Technologist (Athletic Trainer)

104 SALUDA POINTE DR
LEXINGTON, SC 29072

Lexington County (803) 227-8159

MICHELLE BENSMAN MATHENY MA, ATC

Specialist/Technologist (Athletic Trainer)

104 SALUDA POINTE DR, MOORE CENTER FOR ORTHOPEDICS
LEXINGTON, SC 29072

Lexington County (803) 227-8155

ANGELA KOKOSKA

Nurse Practitioner (Family)

104 SALUDA POINTE DR
LEXINGTON, SC 29072

Lexington County (803) 296-7846

AMY LYNN KNOGGE ATC

Specialist/Technologist (Athletic Trainer)

104 SALUDA POINTE DR
LEXINGTON, SC 29072

Lexington County (803) 227-8120

MAYA NASSIM BOUGEBRAYEL

Physician Assistant

104 SALUDA POINTE DR
LEXINGTON, SC 29072

Lexington County (803) 296-7846

JAMES LUCAS MCFADDEN M.D.

Orthopaedic Surgery (Hand Surgery)

104 SALUDA POINTE DR
LEXINGTON, SC 29072

Lexington County (803) 296-7846

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 1912165234. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Where is James Jackson located?

James Jackson practices at 104 Saluda Pointe Dr, Lexington, SC 29072. The listed phone number is (803) 296-7846.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Jackson reassigns Medicare benefits to 2 organizations: Prisma Health Medical Group-Midlands (Columbia, SC) and South Carolina Dept Of Mental Health Accounting Office (Columbia, SC). Each 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 James Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare 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 Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for James Jackson was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.