DEBORAH LYNN JACOBSON MD
NPI 1205126257
Urology - Pediatric Urology in Salt Lake City, UT

Q: What is Deborah Jacobson's NPI number?

The NPI number for Deborah Jacobson is 1205126257. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Q: What is Deborah Jacobson's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Deborah Jacobson was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 12, 2011PECOS EnrolledAccepts Medicare Assignment

100 N MARIO CAPECCHI DR STE 3550, SALT LAKE CITY, UT 84113(801) 662-5555(801) 662-5547 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2022, Oct 22, 2021, Nov 27, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Deborah Lynn Jacobson Md NPPES

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

DEBORAH LYNN JACOBSON MD (NPI 1205126257) is an individual pediatric urology provider in Salt Lake City, Utah, licensed in Utah (10687955-8905) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2011).

NPPES Registry Identity

NPI1205126257

Entity TypeIndividualFemale

Primary Taxonomy2088P0231X

Provider Legal NameDEBORAH LYNN JACOBSONCredential: MD

Location Address100 N MARIO CAPECCHI DR STE 3550Salt Lake City, UT 84113-1103

Mailing Address100 N Mario Capecchi Dr Ste 3550Salt Lake City, UT 84113-1103 · (801) 662-5555

Phone(801) 662-5555

Fax(801) 662-5547

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2011

Enumeration DateApril 12, 2011

Last NPPES UpdateMay 3, 20224 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1205126257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in UT · 10687955-8905✔ Licensed in IL · 036.140152✔ Licensed in ID · M-14378

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

100 N MARIO CAPECCHI DR STE 3550, Salt Lake City, UT 84113

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare and more.Insurance ›

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

Deborah Lynn Jacobson 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 ID7113250465

PECOS Enrollment IDI20190531001464

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 Deborah Jacobson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Services

Same address

Electrodiagnostic Medicine

100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113

Reassigned Medicare billing, Idaho and Utah enrollments
Also billed through NPI 1063876100 (Utah)
12 clinicians in this Medicare group

NPI 1336503812 (801) 587-6336

University Of Utah Adult Services

Same address

Anesthesiology

30 N 1900 E, 3C 444
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1720482599 (801) 587-6336

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

Other Providers at the Same Location NPPES

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

DEEANN CERVANTEZ NP

Nurse Practitioner (Pediatrics)

100 N MARIO CAPECCHI DR STE 3550
SALT LAKE CITY, UT 84113

Salt Lake County (801) 662-5555

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 Deborah Jacobson's NPI number?

The NPI number for Deborah Jacobson is 1205126257. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Deborah Jacobson located?

Deborah Jacobson practices at 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113. The listed phone number is (801) 662-5555.

What is Deborah Jacobson's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Deborah Jacobson enrolled in Medicare?

Yes. Deborah Jacobson 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 Deborah Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Jacobson reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Salt Lake City, UT) and University Of Utah Adult Services (Salt Lake City, UT). 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 Deborah Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deborah Jacobson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 3 other insurers list Deborah Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deborah Jacobson was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.