Individual provider Active NPI

John S Jackson, DO

  • Orthopaedic Surgery Physician
  • El Paso, TX
National Provider Identifier
1689654600
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J7998 Issued in TX
Practice address
10555 Vista del Sol Dr Ste 200
El Paso, TX 79925-7943
Phone
(915) 594-5925
Fax
(915) 594-5926
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 J7998 TX Primary

Addresses

Primary practice location

10555 Vista del Sol Dr Ste 200
El Paso, TX 79925-7943

Mailing address

1720 Murchison
El Paso, TX 79902
Phone (915) 533-7465

Other practice location 1

1700 N Oregon St Ste 710
El Paso, TX 79902-3583
Phone (915) 594-5925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329001070 TX Practitioner - Orthopedic Surgery 7315073392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of El Paso, PLLCGroup PAC ID 9032272687, 4 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

10555 Vista del Sol Dr
Suite 200
El Paso, TX 79925-7943
Phone (915) 594-5925

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

  • Tender Care Home Health Home health agency, El Paso, TX, CCN 679522
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

Merit-based Incentive Payment System (MIPS)

Final score
94.71 of 100Reported as individual
Quality
77.49
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement31
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopaedics of El Paso PLLC Orthopaedic Surgery CurrentSince Aug 7, 2017 Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

1720 Murchison Dr
El Paso, TX 79902
Phone (915) 544-3636

101 Rim Rd
Ste 300
El Paso, TX 79902
Phone (915) 351-1444

10640 Gateway Blvd N
Ste B
El Paso, TX 79924
Phone (915) 507-4631

10555 Vista del Sol Dr
Ste 200
El Paso, TX 79925
Phone (915) 594-1033

1700 N Oregon St
Ste 710
El Paso, TX 79902
Phone (915) 225-4470

Interoperability endpoints

  • Direct secure messaging: 6963-jackson-johns@direct.leadingreach.com
  • Direct secure messaging: john.jackson@hca8.eclinicaldirectplus.com

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689654600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MURCHISON",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-533-7465",
            "fax_number": "915-534-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 VISTA DEL SOL DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257943",
            "telephone_number": "915-594-5925",
            "fax_number": "915-594-5926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 N Oregon St Ste 710",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023583",
            "country_code": "US",
            "telephone_number": "915-594-5925",
            "fax_number": "915-594-5926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J7998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.