JACOB HARRY PICKLE IV MD
NPI 1174525117
Internal Medicine - Gastroenterology in Allentown, PA

Q: What is Jacob Pickle's NPI number?

The NPI number for Jacob Pickle is 1174525117. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Jacob Pickle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Pickle was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 August 10, 2005PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

3131 COLLEGE HEIGHTS BLVD, SUITE 1200, ALLENTOWN, PA 18104(610) 439-8551(610) 439-1435 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jacob Harry Pickle Iv Md NPPES

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

JACOB HARRY PICKLE IV MD (NPI 1174525117) is an individual gastroenterology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD03476SE) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Hahnemann University College Of Medicine (1984).

NPPES Registry Identity

NPI1174525117

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJACOB HARRY PICKLE IVCredential: MD

Location Address3131 COLLEGE HEIGHTS BLVD, SUITE 1200Allentown, PA 18104-4812

Mailing Address3131 College Heights Blvd, Suite 1200Allentown, PA 18104-4812 · (610) 439-8551 · Fax (610) 439-1435

Phone(610) 439-8551

Fax(610) 439-1435

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1984

Enumeration DateAugust 10, 2005

Last NPPES UpdateSeptember 18, 2015

✔ NPI 1174525117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD03476SE

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD03476SE (PA)

3131 COLLEGE HEIGHTS BLVD, Allentown, PA 18104

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Other Identifiers 4

Medicare UPIND68829

Medicare PIN449251PA

Medicaid0011987300001PA

Medicare PIN163757HPVPA

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

Jacob Harry Pickle Iv Md 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 ID5496651275

PECOS Enrollment IDI20100824001153

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.

Medicare Billing Reassignments

Medicare enrollment records show Jacob Pickle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology Associates Ltd

Same address

Gastroenterology

3131 COLLEGE HEIGHTS BLVD
Allentown, PA 18104

Reassigned Medicare billing, Pennsylvania enrollment
7 clinicians in this Medicare group

NPI 1518959360 (610) 439-8551

Avicenna Physician Services Inc

2.7 mi

Internal Medicine

5148 HAMILTON BLVD
Allentown, PA 18106

Reassigned Medicare billing, Pennsylvania enrollment
24 clinicians in this Medicare group

NPI 1801499850 (610) 439-8551

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

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.

494 services295 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

127 services127 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

125 services120 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.

96 services87 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

86 services86 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

72 services72 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.

60 services60 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

58 services58 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

41 services40 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

31 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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.

95.64/100

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

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%236 patients5/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%346 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

100%319 patients5/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%319 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%319 patients1/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ST. LUKE'S PHYSICIAN GROUP, INC.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

3131 COLLEGE HEIGHTS BLVD, SUITE 2200
ALLENTOWN, PA 18104

Lehigh County (610) 432-1983

ROSANNE MARIE DAY PAC

Physician Assistant (Medical)

3131 COLLEGE HEIGHTS BLVD, SUITE 1200
ALLENTOWN, PA 18104

Lehigh County (610) 439-8551

DIANE M. WARD CRNP

Nurse Practitioner (Family)

3131 COLLEGE HEIGHTS BLVD
ALLENTOWN, PA 18104

Lehigh County (610) 439-8551

DR. THOMAS J CZAJKOWSKI MD

Family Medicine

3131 COLLEGE HEIGHTS BLVD, SUITE 2200
ALLENTOWN, PA 18104

Lehigh County (610) 433-8615

MRS. SARAH L FERREIRA CRNP

Nurse Practitioner

3131 COLLEGE HEIGHTS BLVD, SUITE 1200
ALLENTOWN, PA 18104

Lehigh County (610) 439-8551

DR. TAMATHA S BOWES D.M.D.

Dentist

3131 COLLEGE HEIGHTS BLVD, SUITE #2500
ALLENTOWN, PA 18104

Lehigh County (610) 435-4838

DR. WILLIAM THOMAS DEFEO DPM

Podiatrist

3131 COLLEGE HEIGHTS BLVD, SUITE 1500
ALLENTOWN, PA 18104

Lehigh County (610) 821-0444

CHRISTINA SCHEIRER PTA

Physical Therapy Assistant

3131 COLLEGE HEIGHTS BLVD, 2600
ALLENTOWN, PA 18104

Lehigh County (610) 432-7733

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 Pickle's NPI number?

The NPI number for Jacob Pickle is 1174525117. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Jacob Pickle located?

Jacob Pickle practices at 3131 College Heights Blvd Suite 1200, Allentown, PA 18104. The listed phone number is (610) 439-8551.

What is Jacob Pickle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jacob Pickle enrolled in Medicare?

Yes. Jacob Pickle 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 Pickle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Pickle reassigns Medicare benefits to 2 organizations: Gastroenterology Associates Ltd (Allentown, PA) and Avicenna Physician Services Inc (Allentown, 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 Pickle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacob Pickle affiliated with any hospitals?

According to CMS data, Jacob Pickle is affiliated with St Luke's Hospital Bethlehem and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Pickle was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.