Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB ZACHARY DEBERRY M.D.
NPI 1114584141
Internal Medicine in Pittsburgh, PA

Q: 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.

Q: What is Jacob Deberry's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Deberry was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.

Active since May 24, 2019PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

3459 5TH AVE # NW628, PITTSBURGH, PA 15213(412) 692-2212 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, Jul 1, 2024, Jun 14, 2023 and 2 more (5 updates tracked since 2019).

On this page

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 Pittsburgh, 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

NPI1114584141

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACOB ZACHARY DEBERRYCredential: M.D.

Location Address3459 5TH AVE # NW628Pittsburgh, PA 15213-3236

Mailing Address3600 Forbes Avenue, Forbes Tower - Plaza Level Suite 140Pittsburgh, PA 15213

Phone(412) 692-2212

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 24, 2019

Last NPPES UpdateJune 30, 20265 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1114584141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD477835

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MT218801 (PA)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MT218801 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3459 5TH AVE # NW628, Pittsburgh, PA 15213

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Secondary Practice Locations 4

Location 1330 N Point Dr Ste 301Clarion, PA 16214-3873 · Phone (833) 906-0108 · Fax (724) 282-1861

Location 2389 New Castle RdButler, PA 16001-1743 · Phone (833) 906-0108 · Fax (724) 282-1861

Location 3200 Lothrop Street, Office of Education N715 Department of MedicinePittsburgh, PA 15213 · Phone (412) 692-4888 · Fax (412) 692-4499

Location 4675 N Broad Street Ext Ste 3Grove City, PA 16127-5805 · Phone (833) 906-0108 · Fax (724) 282-1861

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

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.

PECOS PAC ID9335476969

PECOS Enrollment IDI20220611000298

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390102

Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Other Providers at the Same Location NPPES 14

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

JOHN WILLIAM TEPPER

Internal Medicine (Pulmonary Disease)