Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861832644 Individual Practitioner Male Practitioner

Dr. Jacob Jackson , DO

Surgery • Bridgeton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Jackson, DO is a certified Surgery practicing in Bridgeton, MO. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Jackson delivers high-quality medical care to the local community at 12266 DE PAUL DR STE 305.

Dr. Jackson is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12266 De Paul Dr Ste 305

Bridgeton, MO 630442514

Telephone 3147700991
Associated Practice Facility / Clinic
🏢 Surgical Arts Of St Louis,ltd Facility NPI 1710999115

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bridgeton, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -14.4 yrs vs City Avg
City Avg: 27.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Bridgeton, MO (766 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (13 Years) 13 Yrs
Bridgeton Specialty Average (27.4 Years) 27.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
50 33 $160.00 $75.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
44 42 $300.00 $125.12
99213 Established patient office or other outpatient visit, typically 15 minutes
37 24 $166.22 $63.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes
33 20 $110.00 $47.42
11042 Removal of skin and tissue, 20.0 sq cm or less
19 11 $282.00 $56.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 13 $277.65 $93.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
13 13 $445.00 $154.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $324.58 $127.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $363.00 $160.94

Medical Specialties & State Licenses

CMS Verified: 2020-11-10
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2015012493

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

12277 De Paul Dr, Bridgeton, MO 630442516

Phone: 3147700991

Secondary Practice Locations

2345 Dougherty Ferry Rd

Saint Louis, MO 631223313

Phone: 3149669100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Nicholas Piening , MD

Surgery - Vascular Surgery

NPI 1073178786

Doctor of Medicine (M.D.)

NPI 1164804035

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Bocchini , MD

Radiology - Vascular & Interventional Radiology

NPI 1194765578

Doctor of Medicine (M.D.)

NPI 1205920220

Doctor of Medicine (M.D.)

NPI 1235245598

Doctor of Medicine (M.D.)

Dr. Thanh-Mai Vo , MD

Internal Medicine - Nephrology

NPI 1235367160

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 10, 2020

Registered at 12266 DE PAUL DR STE 305, BRIDGETON, MO 630442514 (Tel: 3147700991)

📍
Updated Business Mailing Address November 10, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2016

Registered at 2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 631223313 (Tel: 3149669100)

📍
Updated Business Mailing Address June 28, 2016

Registered at 2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 631223313 (Tel: 7652307260)

👤
Provider Name / Credentials Updated June 28, 2016

Recorded as JACOB JACKSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

Surgery (License #2015012493 in MO)

🟢
Initial NPI Registration & Enumeration June 26, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jacob Jackson. Be the first to share your experience!

Sign in to leave a review for Dr. Jacob Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1861832644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2013
Last Update: November 10, 2020
Sole Proprietor: No

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.