DR. JACKSON THOMAS CROUGH D.P.M. NPI 1306100722

NPI Details

DR. Jackson Thomas Crough, D.P.M. is a foot and ankle surgery podiatrist in Rancho Mirage, CA with 14 years of experience. DR. Jackson Thomas Crough, D.P.M. NPI is 1306100722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2012

The provider's business location address is:

39000 BOB HOPE DR, HARRY AND DIANE RINKER BLG
RANCHO MIRAGE, CA
ZIP 92270-212
Phone: (760) 568-2684
Fax: (760) 341-5832

The NPI 1306100722 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).

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.

• Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
• Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Management of oxygen chamber therapy (HCPCS:99183)
• Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
• Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
• Drainage of fluid filled sac below connective tissue in foot joint (HCPCS:28002)
• Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
• Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less (HCPCS:97605)

The enumeration date for this NPI number is 6/29/2012 and was last updated on 10/30/2025.

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: