Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407959695 Individual Practitioner Male Practitioner

Dr. Robert T Jackson , MD

Orthopaedic Surgery • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jackson, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Provo, UT. Practice services are available at 1055 N 500 W under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Suite 121

Provo, UT 846043305

Telephone 8013737350
Fax 8018125401
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Provo, UT (277 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
241 35 $3.00 $1.63
99213 Established patient office or other outpatient visit, typically 15 minutes
90 78 $122.86 $71.84
20610 Aspiration and/or injection of fluid from large joint
47 32 $175.79 $56.67
73502 X-ray of hip, 2-3 views
42 29 $111.86 $38.44
73030 X-ray of shoulder, minimum of 2 views
30 22 $80.87 $27.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
24 24 $73.92 $43.95
73564 X-ray of knee, 4 or more views
18 15 $111.06 $37.77
73562 X-ray of knee, 3 views
16 13 $87.69 $29.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $182.69 $106.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $181.64 $106.85

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License UT 158297-1205

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
870281028000 (UT)
Commercial Insurance / Payer ID Palmetto
200045123 (UT)
Commercial Insurance / Payer ID Pehp
68074 (UT)
Commercial Insurance / Payer ID United Healthcare
09-00414 (UT)
Commercial Insurance / Payer ID Dmba
35879 (UT)
Commercial Insurance / Payer ID Emia
870281028RTJ (UT)
Commercial Insurance / Payer ID Ihc
107006624103 (UT)
Commercial Insurance / Payer ID Altius
QM0000056631 (UT)

Practice Associates & Co-Workers

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

35 Associated Practitioners
Dr. Scott Evans , MD

Orthopaedic Surgery - Hand Surgery

NPI 1033435045

Doctor of Medicine (M.D.)

Dr. Evan Nielsen , MD

Orthopaedic Surgery

NPI 1043527260

Doctor of Medicine (M.D.)

Zachary Golden , PA

Physician Assistant

NPI 1053856542

Physician Assistant

Dr. Bradford Matthews , MD

Orthopaedic Surgery

NPI 1063523959

Doctor of Medicine (M.D.)

Eric Leach , PA-C

Physician Assistant

NPI 1124068739

Physician Assistant (Certified)

Dr. Jeffrey Wallentine , MD

Orthopaedic Surgery

NPI 1124121934

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2010

Registered at 1055 N 500 W, SUITE 121, PROVO, UT 846043305 (Tel: 8013737350)

📍
Updated Business Mailing Address January 11, 2010

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8014298000)

👤
Provider Name / Credentials Updated January 11, 2010

Recorded as ROBERT JACKSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2010

Orthopaedic Surgery (License #158297-1205 in UT)

🟢
Initial NPI Registration & Enumeration September 06, 2006

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: 1407959695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2006
Last Update: November 02, 2018
Sole Proprietor: No

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

Phone: 8013548225

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.