JACOB MAX HUDDLESTON
NPI 1023565330
Physician Assistant - Medical in Avon, OH

Q: What is Jacob Huddleston's NPI number?

The NPI number for Jacob Huddleston is 1023565330. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Q: What is Jacob Huddleston's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Huddleston was last updated on January 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment

33100 CLEVELAND CLINIC BLVD, AVON, OH 44011(440) 695-4000 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2020, Jun 25, 2018, Sep 2, 2016 (3 updates tracked since 2016).

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About Jacob Max Huddleston NPPES

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

JACOB MAX HUDDLESTON (NPI 1023565330) is an individual medical provider in Avon, Ohio, licensed in Ohio (50.004798RX) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and maintains a secondary practice location in New Lebanon.

NPPES Registry Identity

NPI1023565330

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJACOB MAX HUDDLESTON

Location Address33100 CLEVELAND CLINIC BLVDAvon, OH 44011-1390

Mailing Address33100 Cleveland Clinic BlvdAvon, OH 44011-1390

Phone(440) 695-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 2, 2016

Last NPPES UpdateJanuary 23, 20203 updates tracked since enumeration

✔ NPI 1023565330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OH · 50.004798RX

33100 CLEVELAND CLINIC BLVD, Avon, OH 44011

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Secondary Practice Location 1

Location 1550 W Main StNew Lebanon, OH 45345 · Phone (937) 687-1911 · Fax (937) 687-1888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Max Huddleston 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 ID9234427295

PECOS Enrollment IDI20161007000767

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

143 services81 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services33 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

32 services32 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

24 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

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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.

MRS. NANCY ALICE ADAMS P.T.

Physical Therapist