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Timothy D. Jackson, MD, SA-C

NPI 1093710089ActiveIndividual· Orthopaedic Surgery· Gulfport, MS

Orthopaedic Surgery (MD, SA-C) in Gulfport, Mississippi, licensed in MS, with an NPI issued in June 2005. Enrolled in Medicare as practitioner - orthopedic surgery. Abbott Laboratories reported $157.31 in payments in 2025, mostly food and beverage.

Overview

NPI1093710089
StatusActive
Entity typeIndividual
CredentialMD, SA-C
Sole proprietorYes
NPI issuedJun 16, 2005
Last updated in NPPESSep 30, 2026
Certified by providerSep 30, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Orthopaedic Surgery Primary207X00000X14510MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Orthopedic Surgery (MS)

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$157.31 · 2 payments from 1 company
  • 2024$201.48 · 4 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Abbott Laboratories$157.312

What the 2025 payments were for

  • Food and Beverage$157.31 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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