MR. THOMAS JACOB M.D. - NPI 1215295449 - Pediatrics in Marietta, GA

Q: What is Thomas Jacob's NPI number?

The NPI number for Thomas Jacob is 1215295449. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Q: What is Thomas Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Jacob was last updated on July 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Thomas Jacob M.d. NPPES

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

MR. THOMAS JACOB M.D. (NPI 1215295449) is an individual pediatrics provider in Marietta, Georgia, licensed in Georgia (94597) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215295449

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMR. THOMAS JACOBCredential: M.D.

Location Address760 KENNESAW AVE NWMarietta, GA 30060-6909

Mailing Address760 Kennesaw Ave NwMarietta, GA 30060-6909 · (770) 427-0183

Phone(770) 427-0183

Sole ProprietorYes

Enumeration DateApril 25, 2012

Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1215295449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in GA · 94597✔ Licensed in CA · 131098

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

760 KENNESAW AVE NW, Marietta, GA 30060

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Secondary Practice Locations 3

Location 14201 Torrance Blvd Ste 660Torrance, CA 90503 · Phone (310) 373-4303 · Fax (310) 375-1935

Location 2200 Ucla Medical Plz Ste 265Los Angeles, CA 90095-7419 · Phone (310) 825-0867 · Fax (310) 206-5146

Location 3757 Westwood Plz, B711 RRUMCLos Angeles, CA 90095-7419 · Phone (310) 267-9129

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas Jacob M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

80.5/100

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

Scored as part of a group practice

Quality

80.83

Promoting Interoperability

100

Improvement Activities

Cost

20.85

Other Providers at the Same Location NPPES 13

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

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