DR. ANDREW RAY JACOBSON MD
NPI 1053804187
Anesthesiology in Fort Sam Houston, TX

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 916-2500 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2025, Nov 20, 2024, Jul 12, 2024 and 2 more (5 updates tracked since 2018).

About Dr. Andrew Ray Jacobson Md NPPES

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

DR. ANDREW RAY JACOBSON MD (NPI 1053804187) is an individual anesthesiology provider in Fort Sam Houston, Texas, licensed in Texas (U5430) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053804187
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. ANDREW RAY JACOBSONCredential: MD
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address6431 Fannin St Ste 5.020Houston, TX 77030-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 13, 2018
Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1053804187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · U5430
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

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. Andrew Ray Jacobson Md 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 ID1355799339
PECOS Enrollment IDI20231201000524
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrew Jacobson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
Anesthesiology
15305 DALLAS PKWY STE 900
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • 513 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.

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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Andrew Jacobson's NPI number?

The NPI number for Andrew Jacobson is 1053804187. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Andrew Jacobson located?

Andrew Jacobson practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-2500.

What is Andrew Jacobson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Andrew Jacobson enrolled in Medicare?

Yes. Andrew Jacobson 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 Andrew Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Jacobson reassigns Medicare benefits to 3 organizations: Ut Physicians (Houston, TX), Emergenchealth PLLC (Fort Worth, TX) and Orthomed Staffing LLC (Addison, TX). 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 Andrew Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Jacobson accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Andrew 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 Andrew Jacobson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.