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Active NPI 1538570544 Individual Practitioner Male Practitioner

Dr. Derek Thacker , MD

Surgery • Jackson, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Thacker, MD is a certified Surgery practicing in Jackson, TN. With approximately 12 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2014, Dr. Thacker delivers high-quality medical care to the local community at 395 HOSPITAL BLVD.

Dr. Thacker is affiliated with West Tennessee Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

395 Hospital Blvd

Jackson, TN 383052080

Telephone 7316647395
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jackson, TN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -7.1 yrs vs City Avg
City Avg: 19.1 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
21 Specialists

Practicing in Jackson, TN (682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thacker (12 Years) 12 Yrs
Jackson Specialty Average (19.1 Years) 19.1 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
99221 Initial hospital inpatient care per day, typically 30 minutes
71 70 $194.00 $77.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes
33 17 $97.00 $46.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
18 18 $322.00 $122.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
13 13 $449.00 $163.40

Medical Specialties & State Licenses

CMS Verified: 2021-03-11
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 61910

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

West Tennessee Medical Group Inc

620 Skyline Dr, Jackson, TN 383013923

Phone: 7315415000

Secondary Practice Locations

2500 N State St, Department Of Surgery

Jackson, MS 392164500

Phone: 6019845101

Practice Associates & Co-Workers

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

18 Associated Practitioners
Janice Hutcherson , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1063689156
Deseray Melton , NP

Nurse Practitioner - Family

NPI 1114695335

Nurse Practitioner

Kalee Fountain , FNP-C

Nurse Practitioner - Family

NPI 1144072117

Family Nurse Practitioner (Certified)

NPI 1235316886

Doctor of Medicine (M.D.)

NPI 1326650789

Master of Science in Nursing, Adult-Gerontology Nurse Practitioner (Certified)

NPI 1356346142

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2021

Surgery (License #61910 in TN)

📍
Updated Practice Location June 23, 2020

Registered at 395 HOSPITAL BLVD, JACKSON, TN 383052080 (Tel: 7316647395)

📍
Updated Business Mailing Address June 23, 2020

Registered at 250 FLEETS ISLAND DR, MEMPHIS, TN 381039019 (Tel: 2566068372)

NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2014

Registered at 2500 N STATE ST, DEPARTMENT OF SURGERY, JACKSON, MS 392164500 (Tel: 6019845101)

📍
Updated Business Mailing Address May 13, 2014

Registered at 2500 N STATE ST, DEPARTMENT OF SURGERY, JACKSON, MS 392164500

👤
Provider Name / Credentials Updated May 13, 2014

Recorded as DEREK THACKER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 13, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538570544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2014
Last Update: March 11, 2021
Sole Proprietor: No

Mailing Address

250 Fleets Island Dr

Memphis, TN 381039019

Phone: 2566068372

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.