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DR. RICHARD DAVID JACOBSON MD, PHD
NPI 1013968858
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Charlotte, NC

Active since May 15, 2006PECOS Enrolled
91.42/100
CMS Quality Rating
4228 BROOKFIELD DR, CHARLOTTE, NC 28210(615) 345-5400 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2020, Dec 19, 2018, Aug 13, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Richard David Jacobson Md, Phd NPPES

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

DR. RICHARD DAVID JACOBSON MD, PHD (NPI 1013968858) is an individual neurology with special qualifications in child neurology provider in Charlotte, North Carolina, licensed in North Carolina (01389) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013968858
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. RICHARD DAVID JACOBSONCredential: MD, PHD
Location Address4228 BROOKFIELD DRCharlotte, NC 28210
Mailing Address3 Maryland Farms Ste 200Brentwood, TN 37027-5005 · (615) 345-5400 · Fax (888) 468-6603
Phone(615) 345-5400
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 6, 20205 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1013968858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in NC · 01389✔ Licensed in FL · ME127847
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License ME127847 (FL), 31216 (WI)
4228 BROOKFIELD DR, Charlotte, NC 28210
Open in Google Maps ↗

Other Identifiers 2

OtherME127847FL · State License
Medicaid5915702NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard David Jacobson Md, Phd 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 Richard Jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hennepin Healthcare System, Inc
943 mi
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
NPI 1962914333 (612) 617-4600

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 28210 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

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 Richard Jacobson's NPI number?

The NPI number for Richard Jacobson is 1013968858. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Richard Jacobson located?

Richard Jacobson practices at 4228 Brookfield Dr, Charlotte, NC 28210. The listed phone number is (615) 345-5400.

What is Richard Jacobson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Richard Jacobson enrolled in Medicare?

Yes. Richard Jacobson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Jacobson reassigns Medicare benefits to Hennepin Healthcare System, Inc (Minneapolis, MN). 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 Richard Jacobson'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 Richard Jacobson was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.