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JACOB SPIVACK
NPI 1134912652
Physician Assistant in Elkins Park, PA

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment
8360 OLD YORK RD, ELKINS PARK, PA 19027(215) 780-1400 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Spivack NPPES

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

JACOB SPIVACK (NPI 1134912652) is an individual physician assistant in Elkins Park, Pennsylvania, licensed in Pennsylvania (MA066230) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134912652
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB SPIVACK
Location Address8360 OLD YORK RDElkins Park, PA 19027-1576
Mailing Address8360 Old York RdElkins Park, PA 19027-1576
Phone(215) 780-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1134912652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA066230
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8360 OLD YORK RD, Elkins Park, PA 19027
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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

Jacob Spivack 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 ID5799279998
PECOS Enrollment IDI20251215003423
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19027 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

KATHY TALVITIE
Physical Therapist
8360 OLD YORK RD
ELKINS PARK, PA 19027
Montgomery County (215) 780-3180
MISS KYOMI DANA GREGORY PH.D., CCC-SLP
Speech-Language Pathologist
8360 OLD YORK RD
ELKINS PARK, PA 19027
Montgomery County (215) 780-1424
SALUS UNIVERSITY HEARING VISION BALANCE CLINIC
Audiologist
8360 OLD YORK RD
ELKINS PARK, PA 19027
Montgomery County (215) 276-6000
MR. ROBERT WAYNE SERIANNI MS, CCC-SLP
Speech-Language Pathologist
8360 OLD YORK RD
ELKINS PARK, PA 19027
Montgomery County (215) 780-3107
BRIAN TSANG
Physician Assistant
8360 OLD YORK RD
ELKINS PARK, PA 19027
Montgomery County (215) 780-1400
KELLY M SALMON CCC-SLP
Speech-Language Pathologist
8360 OLD YORK RD
ELKINS PARK, PA 19027
Montgomery County (215) 780-1400
DR. JONETTE B. OWEN AUD
Audiologist
8360 OLD YORK RD
ELKINS PARK, PA 19027
Montgomery County (215) 780-1457
JAMIE LO MMS, PA-C
Physician Assistant
8360 OLD YORK RD
ELKINS PARK, PA 19027
Montgomery County (215) 780-1400

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 Spivack's NPI number?

The NPI number for Jacob Spivack is 1134912652. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Jacob Spivack located?

Jacob Spivack practices at 8360 Old York Rd, Elkins Park, PA 19027. The listed phone number is (215) 780-1400.

What is Jacob Spivack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Spivack enrolled in Medicare?

Yes. Jacob Spivack 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.

When was this NPI record last updated?

The NPPES record for Jacob Spivack was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.