DR. ERIC S JACOBSEN M.D.
NPI 1053405969
Family Medicine in Boise, ID

Q: What is Eric Jacobsen's NPI number?

The NPI number for Eric Jacobsen is 1053405969. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Eric Jacobsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Jacobsen was last updated on March 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2006PECOS Enrolled

500 W. FORT ST., # 111, BOISE, ID 83702(208) 422-1000(208) 422-1319 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Eric S Jacobsen M.d. NPPES

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

DR. ERIC S JACOBSEN M.D. (NPI 1053405969) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M8480) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053405969

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ERIC S JACOBSENCredential: M.D.

Location Address500 W. FORT ST., # 111Boise, ID 83702

Mailing Address500 W. Fort St., # 111Boise, ID 83702 · (208) 422-1000 · Fax (208) 422-1319

Phone(208) 422-1000

Fax(208) 422-1319

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateMarch 4, 2022

NPPES CertifiedMarch 4, 2022

✔ NPI 1053405969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M8480

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

500 W. FORT ST., Boise, ID 83702

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Other Identifiers 3

Medicaid003760600ID

Other000010139751ID · Blue Shield

Other50450ID · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric S Jacobsen M.d. 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 83702 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.