NPIMap

Individual provider Active NPI

Jacob Wilkerson, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Durango, CO
National Provider Identifier
1386178309
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
DR.0070961 Issued in CO
Practice address
575 Rivergate LN Unit 105
Durango, CO 81301-7490
Phone
(970) 259-3020
NPI assigned
Apr 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 156204 FL
Student in an Organized Health Care Education/Training Program 390200000X
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X DR.0070961 CO Primary

Addresses

Primary practice location

575 Rivergate LN Unit 105
Durango, CO 81301-7490

Mailing address

2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Phone (954) 659-5000

Other practice location 1

908 Jefferson St
Ninth and Jefferson Building (NJB), 8th Floor Room 809
Seattle, WA 98104-2433
Phone (206) 744-4930

Other practice location 2

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230905002552 CO Practitioner - Orthopedic Surgery 3870862006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Animas Orthopedic Associates and Sports Medicine PCGroup PAC ID 0840355533, 10 clinicians

Practice addresses (Care Compare)

575 Rivergate
Unit 105
Durango, CO 81301-7490
Phone (970) 259-3020

Hospital & facility affiliations

  • Home Health Mercy Home health agency, Durango, CO, CCN 067119
  • Animas Surgical Hospital, LLC Hospital, Durango, CO, CCN 060117
  • Pagosa Springs Medical Center Hospital, Pagosa Springs, CO, CCN 061328
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005
  • Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
88.99
Promoting interoperability
100
Improvement activities
40
Cost
64.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement47
Knee replacement47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156204FLMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Animas Orthopedic Associates & Sports Medicine, P.C. Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
Animas Surgical Hospital, LLC Single Specialty Current Accepting new patients
Animas Surgical Hospital, LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Durango Surgery Center LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

575 Rivergate Ln
Unit 105
Durango, CO 81301
Phone (970) 259-3020

1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109

2 Burnett Ct
Ste 200
Durango, CO 81301
Phone (970) 247-3537

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

27B Talisman Dr
Unit U3
Pagosa Springs, CO 81147

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

Interoperability endpoints

  • Direct secure messaging: jwilkerson@ani.emadirect.md

Organizations & group practices 4

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1386178309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 CLEVELAND CLINIC BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313625",
            "telephone_number": "954-659-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN UNIT 105",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Jefferson St",
            "address_2": "Ninth and Jefferson Building (NJB), 8th Floor Room 809",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042433",
            "country_code": "US",
            "telephone_number": "206-744-4930",
            "fax_number": "206-744-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 Cleveland Clinic Blvd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313609",
            "country_code": "US",
            "telephone_number": "954-659-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "156204",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0070961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.