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DR. MICHAEL B JACOBS M.D., PH.D.
NPI 1053300913
Internal Medicine in Las Vegas, NV

Active since October 13, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 29D2028366 · Waiver
3017 W CHARLESTON BLVD, SUITE 60, LAS VEGAS, NV 89102(702) 778-5100(702) 778-5101 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael B Jacobs M.d., Ph.d. NPPES

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

DR. MICHAEL B JACOBS M.D., PH.D. (NPI 1053300913) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (9037) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 15, 2027, and is a graduate of University Of Toledo College Of Medicine (1987).

NPPES Registry Identity

NPI1053300913
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL B JACOBSCredential: M.D., PH.D.
Location Address3017 W CHARLESTON BLVD, SUITE 60Las Vegas, NV 89102-1927
Mailing Address3017 West Charleston Blvd, Suite 60Las Vegas, NV 89102-1927 · (702) 778-5100 · Fax (702) 778-5101
Phone(702) 778-5100
Fax(702) 778-5101
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1987
Enumeration DateOctober 13, 2005
Last NPPES UpdateAugust 23, 2011
✔ NPI 1053300913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NV · 9037✔ Licensed in NY · 243291
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3017 W CHARLESTON BLVD, Las Vegas, NV 89102
Open in Google Maps ↗

Other Identifiers 3

Other880454631NV · Tax Id Number
Medicare UPINE-65246NV
Medicare PINV33727NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Dr. Michael B Jacobs M.d., Ph.d. 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 ID4880611664
PECOS Enrollment IDI20051101000003
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2028366

Michael Jacobs MD · Las Vegas, NV
Active · expires Aug 15, 2027
CLIA Number29D2028366
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorMichael B. Jacobs
Laboratory Phone(702) 778-5100
Laboratory LocationMichael Jacobs MD3017 W Charleston Ste 60, Las Vegas, NV 89102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
315 services126 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.
200 services98 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.
74 services74 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.
40 services40 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.
24 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers29 claims72 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims22 services$1.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers17 claims97 services$1.60 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers20 claims20 services$42.89 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers18 claims18 services$26.34 avg. paid by Medicare
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
3 suppliers41 claims41 services$64.34 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.

JENNY PAULINE BELEN BARCENAS
Technician (Personal Care Attendant)
3017 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 240-3800
SONYA D WILLIAMS
Technician (Personal Care Attendant)
3017 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 240-3800
ANNA MARIE F DANCEL
Technician (Personal Care Attendant)
3017 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 240-3800
ABEGAIL CONCON APRN, FNP-C
Nurse Practitioner (Family)
3017 W CHARLESTON BLVD, SUITE 60
LAS VEGAS, NV 89102
Clark County (702) 778-5100
LAUREN COOK
Technician (Personal Care Attendant)
3017 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 240-3800
RODNEY W MYRICK
Technician (Personal Care Attendant)
3017 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 240-3800
REGINA AGONOY AGONOY
Technician (Personal Care Attendant)
3017 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 240-3800
VALERIE V LOZANO
Technician (Personal Care Attendant)
3017 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 240-3800

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 Michael Jacobs's NPI number?

The NPI number for Michael Jacobs is 1053300913. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Michael Jacobs located?

Michael Jacobs practices at 3017 W Charleston Blvd Suite 60, Las Vegas, NV 89102. The listed phone number is (702) 778-5100.

What is Michael Jacobs's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Jacobs enrolled in Medicare?

Yes. Michael Jacobs 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.

Does Michael Jacobs hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2028366) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michael Jacobs accept?

Health plans from Ambetter from Arizona Complete Health list Michael Jacobs 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 Michael Jacobs was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.