DR. JACOB O ROBSON MD
NPI 1063672038
Pediatrics - Pediatric Gastroenterology in Salt Lake City, UT

Active since June 13, 2008PECOS EnrolledAccepts Medicare Assignment
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 213-3599 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2025, Dec 1, 2021 (2 updates tracked since 2021).

About Dr. Jacob O Robson Md NPPES

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

DR. JACOB O ROBSON MD (NPI 1063672038) is an individual pediatric gastroenterology provider in Salt Lake City, Utah, licensed in Utah (9386804-1205) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063672038
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. JACOB O ROBSONCredential: MD
Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 13, 2008
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1063672038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in UT · 9386804-1205
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 9386804-1205 (UT), 247128 (MA)
81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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. Jacob O Robson 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 ID5698947398
PECOS Enrollment IDI20150731014530
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

2

Medicare enrollment records show Jacob Robson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
Pediatrics
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 751 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

Anesthesiology
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Allergy/Immunology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Hospitalist
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SLC, UT 84113
Social Worker (Clinical)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Student in an Organized Health Care Education/Training Program
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

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 Robson's NPI number?

The NPI number for Jacob Robson is 1063672038. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Jacob Robson located?

Jacob Robson practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 213-3599.

What is Jacob Robson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Jacob Robson enrolled in Medicare?

Yes. Jacob Robson 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 Robson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Robson reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). 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 Robson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Robson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jacob Robson 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 Jacob Robson was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.