DR. JACOB ZACHARY DEBERRY M.D.
NPI 1114584141
Internal Medicine in Butler, PA
About Dr. Jacob Zachary Deberry M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB ZACHARY DEBERRY M.D. (NPI 1114584141) is an individual internal medicine provider in Butler, Pennsylvania, licensed in Pennsylvania (MD477835) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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 Zachary Deberry M.d. 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
3Medicare enrollment records show Jacob Deberry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Butler, PA 16001
- Reassigned Medicare billing, Pennsylvania enrollment
- 482 clinicians in this Medicare group
Mars, PA 16046
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,182 clinicians in this Medicare group
Pittsburgh, PA 15237
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc St Margaret
Acute Care Hospitals · Pittsburgh, PAButler Memorial Hospital
Acute Care Hospitals · Butler, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16001 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.
Other Providers at the Same Location NPPES 16
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 Deberry's NPI number?
The NPI number for Jacob Deberry is 1114584141. It was assigned to this individual provider in the NPPES registry on May 24, 2019.
Where is Jacob Deberry located?
Jacob Deberry practices at 389 New Castle Rd, Butler, PA 16001. The listed phone number is (833) 906-0108.
What is Jacob Deberry's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jacob Deberry enrolled in Medicare?
Yes. Jacob Deberry 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 Deberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Deberry reassigns Medicare benefits to 3 organizations: Butler Medical Providers (Butler, PA), Upmc Community Medicine Inc (Mars, PA) and University Of Pittsburgh Physicians (Pittsburgh, PA). 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 Deberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacob Deberry affiliated with any hospitals?
According to CMS data, Jacob Deberry is affiliated with Upmc St Margaret and Butler Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Deberry was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Jacob Zachary Deberry, M.D. · NPI 1114584141
Internal Medicine physician in Butler, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 24, 2019.
## Identity
- **NPI:** 1114584141 (Entity type: Individual)
- **Enumerated:** May 24, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD477835 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 389 NEW CASTLE RD, Butler, PA 16001-1743
- **Phone:** (833) 906-0108 · **Fax:** (724) 282-1861
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Butler Medical Providers (NPI 1053799221, Butler, PA); Upmc Community Medicine Inc (NPI 1306070503, Mars, PA); University Of Pittsburgh Physicians (NPI 1942674569, Pittsburgh, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114584141) · Data from the CMS NPPES public registry.