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DR. JACK E RICKETTS MD OBGYN
NPI 1922184258
Obstetrics & Gynecology in Pensacola, FL

Active since October 30, 2006PECOS EnrolledAccepts Medicare Assignment
75.79/100
CMS Quality Rating
8333 N DAVIS HWY FL 7, PENSACOLA, FL 32514(850) 494-4600(850) 969-2037 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jack E Ricketts Md Obgyn NPPES

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

DR. JACK E RICKETTS MD OBGYN (NPI 1922184258) is an individual obstetrics & gynecology provider in Pensacola, Florida, licensed in Florida (ME119487) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida West Hospital, and is a graduate of Saint Louis University School Of Medicine (1981).

NPPES Registry Identity

NPI1922184258
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JACK E RICKETTSCredential: MD OBGYN
Location Address8333 N DAVIS HWY FL 7Pensacola, FL 32514-6050
Mailing Address8333 N Davis Hwy Fl 7Pensacola, FL 32514-6050 · (850) 969-2038 · Fax (850) 969-2037
Phone(850) 494-4600
Fax(850) 969-2037
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1981
Enumeration DateOctober 30, 2006
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1922184258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME119487✔ Licensed in MO · R5C65
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8333 N DAVIS HWY FL 7, Pensacola, FL 32514
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Other Identifiers 1

Medicaid202688602MO

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. Jack E Ricketts Md Obgyn 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 ID9830175082
PECOS Enrollment IDI20141217001114
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

2

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

Ob Hospitalist Group LLC
5.9 mi
Obstetrics & Gynecology
1000 W MORENO ST
Pensacola, FL 32501
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1679292569 (864) 908-3530
St Bernards Hospital Inc.
419 mi
General Acute Care Hospital
225 E WASHINGTON AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 318 clinicians in this Medicare group
NPI 1396053096 (870) 207-4100

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

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 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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost19.31

Other Providers at the Same Location NPPES 5

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

MARY CECILIA PRICE ARNP
Nurse Practitioner
8333 N DAVIS HWY FL 7
PENSACOLA, FL 32514
Escambia County (850) 969-2038
DR. DAWN MARIE HANNAH D.O.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
8333 N DAVIS HWY FL 7
PENSACOLA, FL 32514
Escambia County (850) 969-2038
DR. JULIE A DECESARE MD
Obstetrics & Gynecology
8333 N DAVIS HWY FL 7
PENSACOLA, FL 32514
Escambia County (850) 969-2038
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Internal Medicine (Gastroenterology)
8333 N DAVIS HWY FL 7
PENSACOLA, FL 32514
Escambia County (850) 436-4563
DR. BAILEY PAIGE OUELLETTE DO
Obstetrics & Gynecology
8333 N DAVIS HWY FL 7
PENSACOLA, FL 32514
Escambia County (850) 494-4600

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 Jack Ricketts's NPI number?

The NPI number for Jack Ricketts is 1922184258. It was assigned to this individual provider in the NPPES registry on October 30, 2006.

Where is Jack Ricketts located?

Jack Ricketts practices at 8333 N Davis Hwy Fl 7, Pensacola, FL 32514. The listed phone number is (850) 494-4600.

What is Jack Ricketts's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jack Ricketts enrolled in Medicare?

Yes. Jack Ricketts 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 Jack Ricketts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Ricketts reassigns Medicare benefits to 2 organizations: Ob Hospitalist Group LLC (Pensacola, FL) and St Bernards Hospital Inc. (Jonesboro, AR). 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 Jack Ricketts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jack Ricketts affiliated with any hospitals?

According to CMS data, Jack Ricketts is affiliated with Hca Florida West Hospital.

When was this NPI record last updated?

The NPPES record for Jack Ricketts was last updated on November 20, 2020. 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.