JACOB BENFORD MD
NPI 1063467595
Emergency Medicine in San Jose, CA
About Jacob Benford Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB BENFORD MD (NPI 1063467595) is an individual emergency medicine provider in San Jose, California, licensed in California (A60475) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of University Of California, Geffen School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Jacob Benford 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jacob Benford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95116
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 clinicians in this Medicare group
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 207 clinicians in this Medicare group
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 167 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORMercy Medical Center
Acute Care Hospitals · Roseburg, ORProvidence Medford Medical Center
Acute Care Hospitals · Medford, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacob Benford's NPI number?
The NPI number for Jacob Benford is 1063467595. It was assigned to this individual provider in the NPPES registry on May 23, 2006.
Where is Jacob Benford located?
Jacob Benford practices at 225 North Jackson Avenue, San Jose, CA 95116. The listed phone number is (408) 923-7121.
What is Jacob Benford's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jacob Benford enrolled in Medicare?
Yes. Jacob Benford 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 Jacob Benford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Benford reassigns Medicare benefits to 4 organizations: Cep America - California (San Jose, CA), Providence Health & Services - Oregon (Medford, OR), Asante Three Rivers Medical Center, LLC (Grants Pass, OR) and Cep America LLC (Roseburg, OR). 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 Jacob Benford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacob Benford affiliated with any hospitals?
According to CMS data, Jacob Benford is affiliated with Asante Three Rivers Medical Center, Mercy Medical Center and Providence Medford Medical Center.
When was this NPI record last updated?
The NPPES record for Jacob Benford was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jacob Benford, MD · NPI 1063467595
Emergency Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1063467595 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A60475 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 NORTH JACKSON AVENUE, San Jose, CA 95116
- **Phone:** (408) 923-7121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1568417079, San Jose, CA); Providence Health & Services - Oregon (NPI 1093976243, Medford, OR); Asante Three Rivers Medical Center, LLC (NPI 1801891809, Grants Pass, OR); Cep America LLC (NPI 1780647719, Roseburg, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** October 17, 2019
- **Other identifiers:** Medicaid 00A604750 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1063467595) · Data from the CMS NPPES public registry.