NPI Details
John Douglas Haltom, MD is a sports medicine orthopaedic surgery in Jackson, TN with 24 years of experience. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. John Douglas Haltom, MD NPI is 1205948254. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2002
The provider's business location address is:
24 PHYSICIANS DR
JACKSON, TN
ZIP 38305-070
Phone: (731) 661-9825
Fax: (731) 668-6757
The NPI 1205948254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg (HCPCS:J3304)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
- X-ray of knee, 3 views (HCPCS:73562)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose (HCPCS:J7324)
- Mri scan of leg joint without contrast (HCPCS:73721)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Mri scan of arm joint without contrast (HCPCS:73221)
- X-ray of wrist, minimum of 3 views (HCPCS:73110)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of upper arm, minimum of 2 views (HCPCS:73060)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- X-ray of hand, minimum of 3 views (HCPCS:73130)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
- X-ray of foot, minimum of 3 views (HCPCS:73630)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/2/2015.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | MD44752 | TENNESSEE | No |
| 2 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | MD44752 | TENNESSEE | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1517709 | MEDICAID | TENNESSEE | |
| 2 | 103I206047 | MEDICARE PIN | TENNESSEE | |
