NPI Details
DR. Jason W Thackeray, M.D. is an orthopaedic surgery in Fort Walton Beach, FL with 28 years of experience. The provider is 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. DR. Jason W Thackeray, M.D. NPI is 1235133646. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1997
The provider's business location address is:
1034 MAR WALT DR
SUITE 100
FORT WALTON BEACH, FL
ZIP 32547-645
Phone: (850) 863-2153
Fax: (850) 863-2885
The NPI 1235133646 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.
- Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg (HCPCS:J7318)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
- Therapy procedure using functional activities (HCPCS:97530)
- Therapy procedure in a group setting (HCPCS:97150)
- Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
- Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of knee, 4 or more views (HCPCS:73564)
- Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
- Application of blood vessel compression device (HCPCS:97016)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
- Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
- X-ray of knee, 3 views (HCPCS:73562)
- X-ray of wrist, minimum of 3 views (HCPCS:73110)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
The enumeration date for this NPI number is 6/13/2005 and was last updated on 10/29/2020.
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 | | ME77615 | FLORIDA | 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 | 265809700 | MEDICAID | FLORIDA | |