Derek Thacker, M.D.
NPI 1538570544ActiveIndividual· Surgery· Jackson, TN
Surgery (M.D.) in Jackson, Tennessee, trained at University of South Alabama College of Medicine (class of 2014). Medicare paid $30,649 for services to 137 patients in 2024.
Overview
| NPI | 1538570544 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 13, 2014 |
| Last updated in NPPES | Mar 11, 2021 |
| Certified by provider | Mar 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 61910 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 137 |
|---|---|
| Services billed | 221 across 32 procedure codes |
| Paid by Medicare | $30,649 |
Education and affiliations
| Medical school | University of South Alabama College of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | General Surgery |
Medical group
- West Tennessee Medical Group IncParis, TN · 194 clinicians
Hospital affiliations
- Dyersburg Regional Medical CenterDyersburg, TN
- Jackson-Madison County General HospitalJackson, TN
- West Tennessee Healthcare Henry County HospitalParis, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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