NPIMap

Individual provider Active NPI

Eric James Jackson, D.O.

  • Orthopaedic Surgery Physician
  • Hanover, PA
National Provider Identifier
1366716458
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS019112 Issued in PA
Practice address
470 Eisenhower Dr
Hanover, PA 17331
Phone
(717) 633-0031
Fax
(717) 630-1085
NPI assigned
Mar 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS019112 PA Primary

Addresses

Primary practice location

470 Eisenhower Dr
Hanover, PA 17331

Mailing address

1861 Powder Mill Road
Attn Medical Staff Office
York, PA 17402-4723
Phone (717) 718-2041

Other practice location 1

20 Expedition Trl Ste 110B
Gettysburg, PA 17325-8599
Phone (717) 339-0700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejackson@osshealth.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713002577 PA Practitioner - Orthopedic Surgery 6608097142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Oss Orthopaedic Hospital LLCGroup PAC ID 8729110747, 125 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

20 Expedition TRL
Suite 110B
Gettysburg, PA 17325-8599
Phone 71784848006867

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Vna of Hanover and Spring Grove Home health agency, Hanover, PA, CCN 397061
  • Enhabit Home Health Home health agency, York, PA, CCN 398025
  • Oss Orthopaedic Hospital Hospital, York, PA, CCN 390325
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Homewood Living Plum Creek, Inc Nursing home, Hanover, PA, CCN 395898
  • Menno Haven Rehabilitation Center Nursing home, Chambersburg, PA, CCN 396145

Merit-based Incentive Payment System (MIPS)

Final score
95.65 of 100Reported as group
Quality
99.23
Promoting interoperability
100
Improvement activities
40
Cost
86.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement120
Knee replacement199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Oss Orthopaedic Hospital, LLC Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Sep 1, 2018 Accepting new patients
Oss Orthopaedic Hospital, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

20 Expedition Trl
Ste 110B
Gettysburg, PA 17325
Phone (717) 339-0700

470 Eisenhower Dr
Hanover, PA 17331
Phone (717) 633-0031

1665 Roosevelt Ave
York, PA 17408
Phone (717) 747-8350

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

1855 Powder Mill Rd
York, PA 17402

1861 Powder Mill Rd
Ofc
York, PA 17402
Phone (717) 718-2000

Interoperability endpoints

  • Direct secure messaging: ejackson@osshealth.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1366716458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 POWDER MILL ROAD",
            "address_2": "ATTN MEDICAL STAFF OFFICE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-718-2041",
            "fax_number": "717-718-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-633-0031",
            "fax_number": "717-630-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Expedition Trl Ste 110B",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173258599",
            "country_code": "US",
            "telephone_number": "717-339-0700",
            "fax_number": "717-741-9867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS019112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejackson@osshealth.medentdirect.com",
            "affiliation": "N",
            "address_1": "470 Eisenhower Dr",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.