JACOB RYAN REISSIG DO
NPI 1205463106
Radiology - Diagnostic Radiology in Columbus, OH

Q: What is Jacob Reissig's NPI number?

The NPI number for Jacob Reissig is 1205463106. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Jacob Reissig's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Reissig was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment

395 W 12TH AVE, COLUMBUS, OH 43210(614) 293-8315(614) 293-6935 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2026, May 20, 2025, Jul 8, 2021 and 1 more (4 updates tracked since 2020).

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About Jacob Ryan Reissig Do NPPES

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

JACOB RYAN REISSIG DO (NPI 1205463106) is an individual diagnostic radiology provider in Columbus, Ohio, licensed in Ohio (34.016219) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Ohio University, College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1205463106

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJACOB RYAN REISSIGCredential: DO

Location Address395 W 12TH AVEColumbus, OH 43210-1267

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8315 · Fax (614) 293-6935

Phone(614) 293-8315

Fax(614) 293-6935

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2020

Enumeration DateMarch 23, 2020

Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1205463106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in OH · 34.016219

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

395 W 12TH AVE, Columbus, OH 43210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

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 Ryan Reissig Do 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 ID4183008931

PECOS Enrollment IDI20250602002097

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.

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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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.

SHACHI SRIVATSA

Student in an Organized Health Care Education/Training Program