MR. KALEB L. JACOBS D.O.
NPI 1124468129
Obstetrics & Gynecology in Peoria, IL

Q: What is Kaleb Jacobs's NPI number?

The NPI number for Kaleb Jacobs is 1124468129. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Q: What is Kaleb Jacobs's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaleb Jacobs was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment

87.08/100

CMS Quality Rating

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-3024(309) 655-3739 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2024, Jul 21, 2022, Sep 22, 2016 (3 updates tracked since 2016).

On this page

About Mr. Kaleb L. Jacobs D.o. NPPES

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

MR. KALEB L. JACOBS D.O. (NPI 1124468129) is an individual obstetrics & gynecology provider in Peoria, Illinois, licensed in Illinois (036142613) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1124468129

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMR. KALEB L. JACOBSCredential: D.O.

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-3024 · Fax (309) 655-3739

Phone(309) 655-3024

Fax(309) 655-3739

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 5, 2013

Last NPPES UpdateSeptember 6, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1124468129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036142613✔ Licensed in NM · R-34-2015✔ Licensed in IL · 125.063154

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

530 NE GLEN OAK AVE, Peoria, IL 61637

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Secondary Practice Location 1

Location 11800 N Knoxville Ave Ste APeoria, IL 61603-3005 · Phone (309) 680-7600 · Fax (309) 495-8614

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

Mr. Kaleb L. Jacobs D.o. 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 ID1557682168

PECOS Enrollment IDI20171024000488

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.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

87.08/100

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

Scored as part of a group practice

Quality

70.79

Promoting Interoperability

100

Improvement Activities

Cost

52.82

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.

DR. DEEPAK S NAIR M.D.

Psychiatry & Neurology (Neurology)

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2553

ERIC TYLER AMPARAN MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2274

ALEXANDRA ROPER MD

Surgery

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

JAPMEHR KAUR SANDHU M.B.B.S.

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 624-9351

THOMAS BLACKWELL JR. MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

LUKE KLOFT

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2109

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 Kaleb Jacobs's NPI number?

The NPI number for Kaleb Jacobs is 1124468129. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Kaleb Jacobs located?

Kaleb Jacobs practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-3024.

What is Kaleb Jacobs's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kaleb Jacobs enrolled in Medicare?

Yes. Kaleb Jacobs 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.

Is Kaleb Jacobs affiliated with any hospitals?

According to CMS data, Kaleb Jacobs is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Kaleb Jacobs was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.