JACOB ANDERSON DO
NPI 1023507035
Family Medicine in Scottsbluff, NE

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment
69.39/100
CMS Quality Rating
3911 AVENUE B, SCOTTSBLUFF, NE 69361(308) 630-2100(308) 630-1349 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, May 22, 2025, Sep 22, 2021 and 1 more (4 updates tracked since 2018).

About Jacob Anderson Do NPPES

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

JACOB ANDERSON DO (NPI 1023507035) is an individual family medicine provider in Scottsbluff, Nebraska, licensed in Nebraska (3013) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and maintains a secondary practice location in Scottsbluff.

NPPES Registry Identity

NPI1023507035
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB ANDERSONCredential: DO
Location Address3911 AVENUE BScottsbluff, NE 69361-4617
Mailing Address260895 County Rd E # 1Scottsbluff, NE 69361-6907 · (435) 754-8044
Fax(308) 630-1349
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 4, 2018
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1023507035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NE · 3013 Licensed in CO · DR.0063543
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3911 AVENUE B, Scottsbluff, NE 69361

Secondary Practice Location 1

Location 12 W 42nd StScottsbluff, NE 69361-4669 · Phone (308) 630-2992 · Fax (308) 630-2995

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Anderson Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254688815
PECOS Enrollment IDI20250423002222
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69361 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

69.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.34
Promoting Interoperability81
Improvement Activities40
Cost49.03

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$118.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3911 AVENUE B, SUITE 1100
SCOTTSBLUFF, NE 69361
Internal Medicine (Hematology & Oncology)
3911 AVENUE B, SUITE 1110
SCOTTSBLUFF, NE 69361
Pharmacist
3911 AVENUE B, SUITE M-200
SCOTTSBLUFF, NE 69361
Anesthesiology
3911 AVENUE B, SUITE 2250
SCOTTSBLUFF, NE 69361
Family Medicine
3911 AVENUE B, SUITE 1100
SCOTTSBLUFF, NE 69361
Urology
3911 AVENUE B, SUITE 2200
SCOTTSBLUFF, NE 69361
Speech-Language Pathologist
3911 AVENUE B, SUITE G 200
SCOTTSBLUFF, NE 69361
Dietitian, Registered
3911 AVENUE B, SUITE 1110
SCOTTSBLUFF, NE 69361

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 Anderson's NPI number?

The NPI number for Jacob Anderson is 1023507035. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Jacob Anderson located?

Jacob Anderson practices at 3911 Avenue B, Scottsbluff, NE 69361. The listed phone number is (308) 630-2100.

What is Jacob Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Anderson enrolled in Medicare?

Yes. Jacob Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Anderson accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Jacob Anderson 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.

Is Jacob Anderson affiliated with any hospitals?

According to CMS data, Jacob Anderson is affiliated with Regional West Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Anderson was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.