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JACOBY JACOBSEN D.O.
NPI 1003231952
Orthopaedic Surgery in Toledo, OH

Active since March 02, 2014PECOS Enrolled
2213 CHERRY ST, TOLEDO, OH 43608(419) 251-6596(419) 251-6849 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2021, Apr 22, 2020 (2 updates tracked since 2020).

About Jacoby Jacobsen D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOBY JACOBSEN D.O. (NPI 1003231952) is an individual orthopaedic surgery provider in Toledo, Ohio, licensed in Utah (11722081-1204) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003231952
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJACOBY JACOBSENCredential: D.O.
Location Address2213 CHERRY STToledo, OH 43608-2603
Mailing Address2213 Cherry StToledo, OH 43608-2603 · (419) 251-6596 · Fax (419) 251-6849
Phone(419) 251-6596
Fax(419) 251-6849
Sole ProprietorNo
Enumeration DateMarch 2, 2014
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1003231952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in UT · 11722081-1204
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2213 CHERRY ST, Toledo, OH 43608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacoby Jacobsen D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacoby Jacobsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shriners Hospitals For Children
454 mi
Orthopaedic Surgery
3551 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Utah enrollment
  • 28 clinicians in this Medicare group
NPI 1275271462 (813) 518-7679
University Of Utah Pediatric Services
1,462 mi
Pediatric Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1386257152 (801) 587-7109

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER DAWN TROST NNP
Nurse Practitioner (Neonatal)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4360
ROCIO CROSBY CNP
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-2878
DR. NIZHONI W DENIPAH M.D.
Otolaryngology
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-1020
JANILLE ANN BLAYLOCK APRN, NP-C
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 696-5555
NEW CENTURY MEDICAL OBSERVATION SERVICES OF LUCAS COUNTY, INC
Emergency Medicine
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-3232
DR. ANTHONY JOSEPH DOLNEY MD
Emergency Medicine
2213 CHERRY ST, ACC TRAUMA CLINIC
TOLEDO, OH 43608
Lucas County (419) 251-4724
GREGORY HALSTEAD CRNA
Nurse Anesthetist, Certified Registered
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4524
DANIELLE BREWER DPM
Student in an Organized Health Care Education/Training Program
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-3232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacoby Jacobsen's NPI number?

The NPI number for Jacoby Jacobsen is 1003231952. It was assigned to this individual provider in the NPPES registry on March 2, 2014.

Where is Jacoby Jacobsen located?

Jacoby Jacobsen practices at 2213 Cherry St, Toledo, OH 43608. The listed phone number is (419) 251-6596.

What is Jacoby Jacobsen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jacoby Jacobsen enrolled in Medicare?

Yes. Jacoby Jacobsen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacoby Jacobsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacoby Jacobsen reassigns Medicare benefits to 2 organizations: Shriners Hospitals For Children (Philadelphia, PA) and University Of Utah Pediatric Services (Sandy, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacoby Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacoby Jacobsen accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jacoby Jacobsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacoby Jacobsen was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.