Doctor profile · Federal record
Dr. John Jackson, M.D.
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Obstetrics & Gynecology Physician · Edgewood, KY
- NPI 1114922911
- Accepts Medicare
- 30 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
20 Medical Village Dr, Ste 302
Edgewood, KY 410175402
(859) 341-2510
fax (859) 578-5888 - Mailing address
-
Po Box 635283
Cincinnati, OH 452635283
Credentials & registration
- NPI registered
- June 2005 — 21 yrs on file
- Profile last updated
- April 27, 2023
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State licenses (2)
- Kentucky #34447 · Ohio #35. 073600
- Medicaid (2)
- OH #3003565 · KY #7100093740
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114922911. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$254
Transactions
8
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sage Therapeutics, INC. | 3 | $75.95 | |
| Hologic Sales and Service, LLC | 1 | $68.90 | |
| Gynesonics, INC. | 1 | $44.67 | |
| Shield Therapeutics INC | 2 | $40.35 | |
| Astellas Pharma US INC | 1 | $24.18 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
24
Patients
0
Total drug cost
$1,089
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 24 | 0 | $1,089 |
Hospital affiliations
Frequently asked questions
What is Dr. John Jackson's medical specialty?
Dr. John Jackson practices Obstetrics & Gynecology Physician in Edgewood, KY.
Where does Dr. John Jackson practice?
Dr. John Jackson practices at 20 Medical Village Dr, Edgewood, KY 410175402. Office phone: 8593412510.
What is Dr. John Jackson's NPI?
Dr. John Jackson's National Provider Identifier (NPI) is 1114922911, issued by NPPES.
Does Dr. John Jackson accept Medicare assignment?
Yes. Dr. John Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.