BRIAN JACOB MD
NPI 1023084779
Surgery in New York, NY

Q: What is Brian Jacob's NPI number?

The NPI number for Brian Jacob is 1023084779. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Brian Jacob's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: Is Brian Jacob enrolled in Medicare?

No. Brian Jacob has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Brian Jacob was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 23, 2006Opted out of Medicare · through Oct 1, 2026

1010 5TH AVE, LAPAROSCOPIC SURGICAL CENTER, NEW YORK, NY 10028(212) 879-6677(212) 650-9981 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Brian Jacob Md NPPES

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

BRIAN JACOB MD (NPI 1023084779) is an individual surgery provider in New York, New York, licensed in New York (219514) and active in the NPI registry since February 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023084779

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameBRIAN JACOBCredential: MD

Location Address1010 5TH AVE, LAPAROSCOPIC SURGICAL CENTERNew York, NY 10028-0130

Mailing Address1010 5th Ave, Laparoscopic Surgery CenterNew York, NY 10028-0130 · (212) 879-6677 · Fax (212) 650-9981

Phone(212) 879-6677

Fax(212) 650-9981

Sole ProprietorNo

Enumeration DateFebruary 23, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023084779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NY · 219514

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1010 5TH AVE, New York, NY 10028

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Other Identifiers 3

Medicare UPINI12897

Medicaid02588205NY

Medicare ID-Type Unspecified3181H1NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brian Jacob Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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 9

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

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