JACOB BURTON DO
NPI 1104449917
Anesthesiology in San Angelo, TX

NPI Status: Active since May 27, 2020

Contact Information

3501 KNICKERBOCKER RD
SAN ANGELO, TX
ZIP 76904
Phone: (325) 747-1511

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  • Individual
  • Male
  • Years of Experience 6
  • Anesthesiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACOB BURTON

This page provides the complete NPI Profile along with additional information for Jacob Burton, an anesthesiologist established in San Angelo, Texas with a medical specialization in Anesthesiology and more than 6 years of experience. He graduated from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2020. The healthcare provider is registered in the NPI registry with number 1104449917 assigned on May 2020. The practitioner's primary taxonomy code is 207L00000X with license number V1043 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1104449917
Provider Name
JACOB BURTON DO
Gender
Male
Entity Type
Individual
Location Address
3501 KNICKERBOCKER RD SAN ANGELO, TX 76904
Location Phone
(325) 747-1511
Mailing Address
4045 CAROLINE LN SAN ANGELO, TX 76904
Mailing Phone
(330) 284-6351
Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
05-27-2020
Last Update Date
06-27-2025
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An anesthesiologist like Jacob Burton manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
V1043
License State
TX
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • Imperial Preferred Bronze - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Gold Zero - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jacob Burton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jacob Burton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7012331093

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240828002588

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104449917, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 8 + 4 + 1 + 8 + 9 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104449917.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Obstetrics & Gynecology
3501 KNICKERBOCKER RD, WILLIAMS FAMILY CENTER
SAN ANGELO, TX 76904
Obstetrics & Gynecology
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Pediatrics (Neonatal-Perinatal Medicine)
3501 KNICKERBOCKER RD, ROOM 104
SAN ANGELO, TX 76904
Internal Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Emergency Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Anesthetist, Certified Registered
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Anesthetist, Certified Registered
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Specialist
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Emergency Medicine (Undersea and Hyperbaric Medicine)
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Emergency Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Dietitian, Registered
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Emergency Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Emergency Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Emergency Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Anesthesiology
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Anesthetist, Certified Registered
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104449917, enumerated as an "individual" on May 27, 2020.

The provider is located at 3501 KNICKERBOCKER RD SAN ANGELO, TX 76904 and the phone number is (325) 747-1511.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Imperial. Please consult your insurance carrier or call the provider to verify.