MR. JACOB RICHARD WHITE M.D.
NPI 1003304387
Pediatrics in Pittsburgh, PA

Active since April 23, 2018PECOS Enrolled
88 FORT COUCH RD STE 100, PITTSBURGH, PA 15241(412) 831-1114 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jacob Richard White M.d. NPPES

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

MR. JACOB RICHARD WHITE M.D. (NPI 1003304387) is an individual pediatrics provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD472537) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003304387
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. JACOB RICHARD WHITECredential: M.D.
Location Address88 FORT COUCH RD STE 100Pittsburgh, PA 15241-1042
Mailing AddressCcp South Hills, Bethel Park Office, 88 Fort Couch RoadPittsburgh, PA 15241 · (412) 831-1114
Sole ProprietorNo
Enumeration DateApril 23, 2018
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedJune 19, 2021
✔ NPI 1003304387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD472537
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
88 FORT COUCH RD STE 100, Pittsburgh, PA 15241

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacob Richard White M.d. 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 Reassignment

Medicare enrollment records show Jacob White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3089 SUSSEX AVE
Pittsburgh, PA 15226
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group

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 15241 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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 3

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

Pediatrics
88 FORT COUCH RD STE 100
PITTSBURGH, PA 15241
Pediatrics
88 FORT COUCH RD STE 100
PITTSBURGH, PA 15241
Nurse Practitioner (Family)
88 FORT COUCH RD STE 100
PITTSBURGH, PA 15241

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 Jacob White's NPI number?

The NPI number for Jacob White is 1003304387. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Jacob White located?

Jacob White practices at 88 Fort Couch Rd Ste 100, Pittsburgh, PA 15241. The listed phone number is (412) 831-1114.

What is Jacob White's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacob White enrolled in Medicare?

Yes. Jacob White is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob White reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). The 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 Jacob White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob White was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.