LAURA K JACKS M.D.
NPI 1922063312
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Louisville, KY

Q: What is Laura Jacks's NPI number?

The NPI number for Laura Jacks is 1922063312. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Laura Jacks's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Laura Jacks was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2933 BRECKENRIDGE LN STE 103, LOUISVILLE, KY 40220(502) 394-5678(502) 394-5600 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2022, Jun 1, 2021, Oct 20, 2020 (3 updates tracked since 2020).

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About Laura K Jacks M.d. NPPES

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

LAURA K JACKS M.D. (NPI 1922063312) is an individual pediatric orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (37525) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1989).

NPPES Registry Identity

NPI1922063312

Entity TypeIndividualFemale

Primary Taxonomy207XP3100X

Provider Legal NameLAURA K JACKSCredential: M.D.

Location Address2933 BRECKENRIDGE LN STE 103Louisville, KY 40220-1408

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5339

Phone(502) 394-5678

Fax(502) 394-5600

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1989

Enumeration DateApril 19, 2006

Last NPPES UpdateSeptember 23, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2022

✔ NPI 1922063312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in KY · 37525

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 37525 (KY)

2933 BRECKENRIDGE LN STE 103, Louisville, KY 40220

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Other Identifiers 2

Medicaid64052772KY

Medicaid200397730IN

Accepted Insurance

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

Laura K Jacks 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 ID9537135645

PECOS Enrollment IDI20040909000180

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 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 Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

1 supplier13 claims13 services$9.93 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier23 claims23 services$36.29 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 9

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

KIRBY AMANDA TALMAN PA-C

Physician Assistant