DR. JACOB MINOR DO
NPI 1033613930
Surgery in Charleston, WV
About Dr. Jacob Minor Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB MINOR DO (NPI 1033613930) is an individual surgery provider in Charleston, West Virginia, licensed in West Virginia (4068) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jacob Minor 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Minor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, WV 25301
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Neenah, WI 54956
- Reassigned Medicare billing, Wisconsin enrollment
- 30 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIThedacare Medical Center-Waupaca
Critical Access Hospitals · Waupaca, WIBerlin Memorial Hospital
Critical Access Hospitals · Berlin, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
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 Minor's NPI number?
The NPI number for Jacob Minor is 1033613930. It was assigned to this individual provider in the NPPES registry on March 23, 2018.
Where is Jacob Minor located?
Jacob Minor practices at 3100 Maccorkle Ave SE Ste 700, Charleston, WV 25304. The listed phone number is (304) 351-1600.
What is Jacob Minor's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jacob Minor enrolled in Medicare?
Yes. Jacob Minor 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.
Which organizations bill Medicare for Jacob Minor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Minor reassigns Medicare benefits to 2 organizations: Charleston Area Medical Center, Inc. (Charleston, WV) and Surgical Associates Of Neenah, S.C. (Neenah, WI). Each 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 Minor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Minor accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Jacob Minor 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 Minor affiliated with any hospitals?
According to CMS data, Jacob Minor is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center-Waupaca and Berlin Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Minor was last updated on August 9, 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.
# Dr. Jacob Minor, DO · NPI 1033613930
Surgery physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since March 23, 2018.
## Identity
- **NPI:** 1033613930 (Entity type: Individual)
- **Enumerated:** March 23, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4068 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 MACCORKLE AVE SE STE 700, Charleston, WV 25304-1230
- **Phone:** (304) 351-1600 · **Fax:** (304) 351-1604
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Charleston Area Medical Center, Inc. (NPI 1750166898, Charleston, WV); Surgical Associates Of Neenah, S.C. (NPI 1285792341, Neenah, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2018
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033613930) · Data from the CMS NPPES public registry.