MARC JACOBSON DDS
NPI 1043479827
Dentist in Mequon, WI

Active since June 05, 2008PECOS Enrolled
10521 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 241-2060(262) 241-2064 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marc Jacobson Dds NPPES

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

MARC JACOBSON DDS (NPI 1043479827) is an individual dentist in Mequon, Wisconsin, licensed in Wisconsin (2475-015) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043479827
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARC JACOBSONCredential: DDS
Location Address10521 N PORT WASHINGTON RDMequon, WI 53092-5584
Mailing Address10521 N Port Washington RdMequon, WI 53092-5584 · (262) 241-2060 · Fax (262) 241-2064
Fax(262) 241-2064
Sole ProprietorNo
Enumeration DateJune 5, 2008
NPI 1043479827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WI · 2475-015
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10521 N PORT WASHINGTON RD, Mequon, WI 53092

Other Identifiers 1

Medicaid33412900WI

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 (PECOS)

Marc Jacobson Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 11

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

Dentist (Orthodontics and Dentofacial Orthopedics)
10521 N PORT WASHINGTON RD
MEQUON, WI 53092
Dentist (Orthodontics and Dentofacial Orthopedics)
10521 N PORT WASHINGTON RD
MEQUON, WI 53092
Dentist (General Practice)
10521 N PORT WASHINGTON RD, SUITE 200
MEQUON, WI 53092
Chiropractor
10521 N PORT WASHINGTON RD, SUITE 130
MEQUON, WI 53092
Dentist (General Practice)
10521 N PORT WASHINGTON RD
MEQUON, WI 53092
Chiropractor
10521 N PORT WASHINGTON RD, STE 130
MEQUON, WI 53092
Chiropractor
10521 N PORT WASHINGTON RD, STE 130
MEQUON, WI 53092
Chiropractor
10521 N PORT WASHINGTON RD
MEQUON, WI 53092

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 Marc Jacobson's NPI number?

The NPI number for Marc Jacobson is 1043479827. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Marc Jacobson located?

Marc Jacobson practices at 10521 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 241-2060.

What is Marc Jacobson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Marc Jacobson enrolled in Medicare?

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

What insurance does Marc Jacobson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. list Marc Jacobson 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.

When was this NPI record last updated?

The NPPES record for Marc Jacobson was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.