ERIC K JACOBSON PA
NPI 1043617434
Physician Assistant in Springfield, VT

Q: What is Eric Jacobson's NPI number?

The NPI number for Eric Jacobson is 1043617434. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Q: What is Eric Jacobson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Jacobson was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 01, 2014PECOS EnrolledAccepts Medicare Assignment

390 RIVER STREET, SPRINGFIELD, VT 05156(802) 886-4500(802) 886-4560 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2020, Feb 26, 2016 (2 updates tracked since 2016).

On this page

About Eric K Jacobson Pa NPPES

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

ERIC K JACOBSON PA (NPI 1043617434) is an individual physician assistant in Springfield, Vermont, licensed in Vermont (055.0031321) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Mt Ascutney Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043617434

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameERIC K JACOBSONCredential: PA

Location Address390 RIVER STREETSpringfield, VT 05156-2226

Mailing Address390 River StreetSpringfield, VT 05156-2226 · (802) 886-4500 · Fax (802) 886-4560

Phone(802) 886-4500

Fax(802) 886-4560

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 1, 2014

Last NPPES UpdateApril 22, 20202 updates tracked since enumeration

NPPES CertifiedApril 22, 2020

✔ NPI 1043617434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in VT · 055.0031321✔ Licensed in TX · PA09021

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

390 RIVER STREET, Springfield, VT 05156

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Eric K Jacobson Pa 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 ID6608179452

PECOS Enrollment IDI20161229000815

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 7

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

228 services55 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.

135 services49 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

122 services19 patients

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.

51 services29 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

37 services22 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT

OwnershipVoluntary non-profit - Private

CMS Certification Number471302

Location289 County RoadWindsor, VT 05089 · Windsor County

Emergency services

Springfield Hospital

Critical Access Hospitals · Springfield, VT

OwnershipVoluntary non-profit - Private

CMS Certification Number471306

LocationPO Box 2003Springfield, VT 05156 · Windsor County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05156 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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 20

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

MARK GEBO M.ED

Counselor (Mental Health)