JACOB BENFORD MD
NPI 1063467595
Emergency Medicine in San Jose, CA

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
99.76/100
CMS Quality Rating
225 NORTH JACKSON AVENUE, SAN JOSE, CA 95116(408) 923-7121 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1063467595
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACOB BENFORDCredential: MD
Location Address225 NORTH JACKSON AVENUESan Jose, CA 95116
Mailing Address2100 Powell Street, Suite 900Emeryville, CA 94608-1804 · (510) 350-2664 · Fax (510) 879-4076
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1996
Enumeration DateMay 23, 2006
Last NPPES UpdateOctober 17, 2019
NPI 1063467595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · A60475 Licensed in OR · MD195812
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

225 NORTH JACKSON AVENUE, San Jose, CA 95116

Other Identifiers 1

Medicaid00A604750CA

Accepted 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

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.

PECOS PAC ID6608833983
PECOS Enrollment IDI20191118000824
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
353 services336 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
100 services96 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services46 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
32 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
25 services25 patients

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, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician 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.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.28
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 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
1 supplier12 claims12 services$119.41 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 11

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

Physician Assistant
225 NORTH JACKSON AVENUE
SAN JOSE, CA 95116
Emergency Medicine
225 NORTH JACKSON AVENUE
SAN JOSE, CA 95116
Physician Assistant
225 NORTH JACKSON AVENUE
SAN JOSE, CA 95116
Emergency Medicine
225 NORTH JACKSON AVENUE
SAN JOSE, CA 95116
Emergency Medicine
225 NORTH JACKSON AVENUE
SAN JOSE, CA 95116
Physician Assistant
225 NORTH JACKSON AVENUE
SAN JOSE, CA 95116
Nurse Practitioner (Family)
225 NORTH JACKSON AVENUE
SAN JOSE, CA 95116
Physician Assistant
225 NORTH JACKSON AVENUE
SAN JOSE, CA 95116

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.

What insurance does Jacob Benford accept?

Health plans from Providence Health Plan list Jacob Benford 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.

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 with the weekly NPPES data releases published by CMS.