Active NPI
John Freeland Ackley, D.O.
- Orthopaedic Surgery Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- R7366
- Practice address
- 140 Hillcrest Medical Blvd Ste 2
Waco, TX 76712-8897 - Phone
- (254) 741-1400
- Fax
- (254) 741-1428
- NPI assigned
- Mar 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | BM4400379242 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | R7366 | TX | Primary |
Addresses
Primary practice location
140 Hillcrest Medical Blvd Ste 2
Waco, TX 76712-8897
Mailing address
PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655
Other practice location 1
50 Hillcrest Medical Blvd Ste 303
Waco, TX 76712-8955
Phone (254) 215-9481
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jackley337210@direct.sw.org | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180823000590 | TX | Practitioner - Orthopedic Surgery | 4385945542 | 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
- Hillcrest Physician Services
Practice addresses (Care Compare)
100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-2000
140 Hillcrest Medical Blvd
Waco, TX 76712-8897
150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000
50 Hillcrest Medical Blvd
Waco, TX 76712-8955
50 Hillcrest Medical Blvd
Suite 206
Waco, TX 76712-8954
Phone (254) 202-7950
Hospital & facility affiliations
- Accentcare Home Health of Waco
- Baylor Scott & White Medical Center Hillcrest
- Baylor Scott & White Medical Center - Temple
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 313 |
| Laminectomy or laminotomy (partial removal of spine bones) | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BM4400379242 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Physician Services | Orthopaedic Surgery | Current | Accepting new patients |
| Hillcrest Family Health Center | Orthopaedic Surgery | Past | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients | |
| Hillcrest Baptist Medical Center | Past | Accepting new patients |
Locations
5701 Airport Rd
#200
Temple, TX 76502
Phone (254) 215-9790
100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000
50 Hillcrest Medical Blvd
Ste 303
Waco, TX 76712
Phone (254) 202-0480
50 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-7300
140 Hillcrest Medical Blvd
Ste 2
Waco, TX 76712
Phone (254) 741-1400
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.
-
- Internal Medicine Physician
- Waco, TX
- NPI 1649294323
Orthopaedic Surgery, TX
-
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
-
- Family Medicine Physician
- Waco, TX
- NPI 1891796694
Orthopaedic Surgery
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waco, TX
- NPI 1548790991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1811261985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848476",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848476",
"telephone_number": "254-202-4655",
"fax_number": "254-202-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HILLCREST MEDICAL BLVD STE 2",
"city": "WACO",
"state": "TX",
"postal_code": "767128897",
"telephone_number": "254-741-1400",
"fax_number": "254-741-1428"
}
],
"practiceLocations": [
{
"address_1": "50 Hillcrest Medical Blvd Ste 303",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767128955",
"country_code": "US",
"telephone_number": "254-215-9481",
"fax_number": "254-215-9699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACKLEY",
"first_name": "JOHN",
"middle_name": "FREELAND",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-06",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "BM4400379242",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "R7366",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jackley337210@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "140 Hillcrest Medical Blvd Ste 2",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128897",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.