LAURA K JACKS M.D.
NPI 1922063312
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Louisville, KY
NPI Status: Active since April 19, 2006
Contact Information
2933 BRECKENRIDGE LN STE 103
LOUISVILLE, KY
ZIP 40220
Phone: (502) 394-5678
Fax: (502) 394-5600
- Individual
- Female
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About LAURA JACKS
This page provides the complete NPI Profile along with additional information for Laura Jacks, a provider established in Louisville, Kentucky with a medical specialization in Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1922063312 assigned on April 2006. The practitioner's primary taxonomy code is 207XP3100X with license number 37525 (KY). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1922063312
- Provider Name
- LAURA K JACKS M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220
- Location Phone
- (502) 394-5678
- Location Fax
- (502) 394-5600
- Mailing Address
- PO BOX 776879 CHICAGO, IL 60677
- Mailing Phone
- (502) 588-9490
- Mailing Fax
- (502) 394-5600
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-19-2006
- Last Update Date
- 09-23-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 37525
- License State
- KY
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 37525 (KY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64052772 | MEDICAID (05) | KY | |
| 200397730 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Laura Jacks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE000N)
Commode chair, mobile or stationary, with detachable arms (HCPCS:E0165)
1 DME suppliers used 13 Medicare Claims 13 Services Paid
DME-Wheelchairs (DD000N)
Lightweight wheelchair (HCPCS:K0003)
1 DME suppliers used 23 Medicare Claims 23 Services Paid
Reviews for LAURA K JACKS M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 2 | 2 | 0 | 6 | 3 | 3 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 0 | 6 | 6 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 0 + 6 + 6 + 3 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1922063312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760143606 | HRISTINA OSTOJIC PA-C Individual | Physician Assistant | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1003160524 | KIRBY AMANDA TALMAN PA-C Individual | Physician Assistant | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1063648467 | MRS. SHANNON NICOLE LAPLANTE HUELSMAN P.A.-C Individual | Physician Assistant | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1255865895 | KELLY ANNE JENKINS MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1366979304 | DR. BAILEY WALKER YOUNG DO Individual | Orthopaedic Surgery | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1417647579 | TERESA L. WICZYNSKI PA Individual | Physician Assistant | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1912445123 | MEGAN SWAN LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1124450341 | MRS. SARAH DUPLESSIS YOUNG PA Individual | Physician Assistant | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1285989368 | KENT LYLE WALKER DO Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
| 1760008429 | MALLORY ANNE CAREY PA-C Individual | Physician Assistant | 2933 BRECKENRIDGE LN STE 103 LOUISVILLE, KY 40220 (502) 394-5678 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922063312, enumerated in the NPI registry as an "individual" on April 19, 2006
The provider is located at 2933 Breckenridge Ln Ste 103 Louisville, Ky 40220 and the phone number is (502) 394-5678
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XP3100X with a focus in Pediatric Orthopaedic Surgery
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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