TREVOR G JACKSON (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1003200601

TREVOR G JACKSON (M.D.) is a healthcare provider. based in Lancaster, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD475250 (PA). The NPI Number for TREVOR G JACKSON (M.D.) is 1003200601

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR G JACKSON (M.D.)
NPI
1003200601
Phone
(717) 560-4200
Address
231 GRANITE RUN DRIVE
Enumeration Date
23 March 2015
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7175604200
Graduation Year
2015 (11 years ago)
PAC ID
0840510384
Group Practice PAC ID
1557264678
Professional Enrollment ID
I20210816000756
Address ID
PA176016823LA231XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,620 ORTHOPEDIC SURGERY in PA

Provider Addresses for TREVOR G JACKSON (M.D.)

  • 231 GRANITE RUN DRIVE

    LANCASTER, PA 176016823

    Phone: (717) 560-4200

    Fax: (717) 560-4200

    Type: Mailing

  • 13001 E 17TH PL

    AURORA, CO 800452570

    Phone: (303) 724-2963

    Fax: (303) 724-1593

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Ethicon US, LLC ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$27
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210816000756IOrthopedic SurgeryPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg44699$0
99213Established patient office or other outpatient visit, 20-29 minutes201159$0
73110X-ray of wrist, minimum of 3 views13080$0
20550Injection into tendon or ligament11998$0
99214Established patient office or other outpatient visit, 30-39 minutes119109$0
View full utilization report →

Insurance plans in this area (ZIP 17601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557264678View full group profile
NameSpecialtyState
Physician AssistantPA
Orthopedic SurgeryFL
Physician AssistantPA
Physician AssistantPA
Orthopedic SurgeryPA
Orthopedic SurgeryPA
Certified Registered Nurse Anesthetist (Crna)PA
Orthopedic SurgeryPA
Certified Registered Nurse Anesthetist (Crna)PA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Where can patients find TREVOR G JACKSON (M.D.)'s NPI?
You can confirm TREVOR G JACKSON (M.D.) with NPI 1003200601; it appears in the national provider directory.
Is TREVOR G JACKSON (M.D.) currently active in the NPI registry?
CMS-published data lists TREVOR G JACKSON (M.D.) as an active registrant.
Can you summarize TREVOR G JACKSON (M.D.)'s specialty in plain language?
Clinically, the directory lists TREVOR G JACKSON (M.D.) with Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for TREVOR G JACKSON (M.D.)?
We surface Lancaster, Pennsylvania for TREVOR G JACKSON (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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