MR. JACOB WAYNE MOSS M.D., J.D.
NPI 1205179751
General Practice in Saint Anthony, ID

NPI Status: Active since April 03, 2013

Contact Information

335 E MAIN ST STE 1
SAINT ANTHONY, ID
ZIP 83445
Phone: (208) 356-4900
Fax: (208) 624-4116

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  • Individual
  • Male
  • Years of Experience 13
  • General Practice
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACOB MOSS

This page provides the complete NPI Profile along with additional information for Jacob Moss, a primary care provider established in Saint Anthony, Idaho with a medical specialization in General Practice and more than 13 years of experience. He graduated from Southern Illinois University School Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1205179751 assigned on April 2013. The practitioner's primary taxonomy code is 208D00000X with license number M-14547 (ID). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1205179751
Provider Name
MR. JACOB WAYNE MOSS M.D., J.D.
Gender
Male
Entity Type
Individual
Location Address
335 E MAIN ST STE 1 SAINT ANTHONY, ID 83445
Location Phone
(208) 356-4900
Location Fax
(208) 624-4116
Mailing Address
PO BOX 18 SAINT ANTHONY, ID 83445
Mailing Phone
(208) 356-4900
Mailing Fax
(208) 624-4116
Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
04-03-2013
Last Update Date
10-15-2025
Code Navigator

A primary care provider (PCP) like Jacob Moss sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 3724 Woodking Dr Ste 1
    Idaho Falls, ID 83404
    (208) 356-4900
  • 72 S 1st E Ste 101
    Rexburg, ID 83440
    (208) 356-4900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
M-14547
License State
ID
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

TM190 (GA)

Medicare Participation & PECOS Enrollment Status

Jacob Moss is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jacob Moss is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 42454159

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20191231002364

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 30 times for 23 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jacob Moss is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TETON VALLEY HOSPITAL120 EAST HOWARD AVE
DRIGGS, ID 83422
(208) 354-2383Critical Access Hospitals

Reviews for MR. JACOB WAYNE MOSS M.D., J.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205179751, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 2 + 7 + 1 + 8 + 7 + 1 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1205179751.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Physician Assistant
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Physician Assistant
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Clinic/Center (Federally Qualified Health Center (FQHC))
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Social Worker (Clinical)
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Family Medicine
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Physician Assistant
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Social Worker
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205179751, enumerated as an "individual" on April 03, 2013.

The provider is located at 335 E MAIN ST STE 1 SAINT ANTHONY, ID 83445 and the phone number is (208) 356-4900.

General Practice with taxonomy code 208D00000X.

Jacob Moss is affiliated with: TETON VALLEY HOSPITAL.