JACOB OPPENHEIMER M.D.
NPI 1164877809
Urology in Lakewood, CO

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
73.43/100
CMS Quality Rating
255 S ROUTT ST STE 420, LAKEWOOD, CO 80228(303) 985-2550 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, Jun 29, 2021 (2 updates tracked since 2021).

About Jacob Oppenheimer M.d. NPPES

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

JACOB OPPENHEIMER M.D. (NPI 1164877809) is an individual urology provider in Lakewood, Colorado, licensed in Colorado (DR.0066746) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2016).

NPPES Registry Identity

NPI1164877809
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJACOB OPPENHEIMERCredential: M.D.
Location Address255 S ROUTT ST STE 420Lakewood, CO 80228-2271
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (410) 581-1600
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2016
Enumeration DateMay 2, 2016
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1164877809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CO · DR.0066746
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
255 S ROUTT ST STE 420, Lakewood, CO 80228

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 Oppenheimer 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 ID2567863368
PECOS Enrollment IDI20210630003742
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.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
231 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
193 services154 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
157 services138 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
145 services110 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
123 services123 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
120 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

73.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.44
Promoting Interoperability89
Improvement Activities40
Cost54.17

Other Providers at the Same Location NPPES 5

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

Urology
255 S ROUTT ST STE 420
LAKEWOOD, CO 80228
Urology
255 S ROUTT ST STE 420
LAKEWOOD, CO 80228
Nurse Practitioner
255 S ROUTT ST STE 420
LAKEWOOD, CO 80228
Physician Assistant
255 S ROUTT ST STE 420
LAKEWOOD, CO 80228
Physician Assistant (Medical)
255 S ROUTT ST STE 420
LAKEWOOD, CO 80228

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 Oppenheimer's NPI number?

The NPI number for Jacob Oppenheimer is 1164877809. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Jacob Oppenheimer located?

Jacob Oppenheimer practices at 255 S Routt St Ste 420, Lakewood, CO 80228. The listed phone number is (303) 985-2550.

What is Jacob Oppenheimer's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jacob Oppenheimer enrolled in Medicare?

Yes. Jacob Oppenheimer 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 Oppenheimer was last updated on June 3, 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.