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DR. JACOB DUDLEY ROUSE M.D.
NPI 1225013196
Obstetrics & Gynecology - Gynecology in New Smyrna Beach, FL

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
603 S ORANGE ST, NEW SMYRNA BEACH, FL 32168(386) 423-0333(386) 423-0042 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacob Dudley Rouse M.d. NPPES

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

DR. JACOB DUDLEY ROUSE M.D. (NPI 1225013196) is an individual gynecology provider in New Smyrna Beach, Florida, licensed in Florida (ME32999) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Medical University Of South Carolina College Of Medicine (1976).

NPPES Registry Identity

NPI1225013196
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. JACOB DUDLEY ROUSECredential: M.D.
Location Address603 S ORANGE STNew Smyrna Beach, FL 32168-7320
Mailing Address603 S Orange StNew Smyrna Beach, FL 32168-7320 · (386) 423-0333 · Fax (386) 423-0042
Phone(386) 423-0333
Fax(386) 423-0042
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1976
Enumeration DateDecember 13, 2005
Last NPPES UpdateJuly 14, 2014
✔ NPI 1225013196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME32999
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
603 S ORANGE ST, New Smyrna Beach, FL 32168
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Other Identifiers 8

Other210925FL · Florida Health Care
Medicare PIN62232ZFL
Other4055589FL · Aetna
Medicaid067960700FL
Other4703735004FL · Cigna
Medicare UPIND57357FL
Medicare PINCK2855FL
OtherAETNAFL · 623712

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Health Care Plans, Health First Commercial Plans, Inc. 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 and accepts Medicare assignment

Dr. Jacob Dudley Rouse M.d. 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 ID3870680564
PECOS Enrollment IDI20071026000652
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.

Areas of Expertise CMS Part B claims 5

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.
76 services51 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.
74 services57 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
51 services51 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
29 services27 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32168 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

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.
86%155 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
37%43 patients2/55-star benchmark: 96%
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.
21%192 patients1/55-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…
85%192 patients4/55-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…
1%192 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

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

NEW SMYRNA BEACH GYNECOLOGY & OBSTETRICS PA
Obstetrics & Gynecology
603 S ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 423-0333

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 Rouse's NPI number?

The NPI number for Jacob Rouse is 1225013196. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Jacob Rouse located?

Jacob Rouse practices at 603 S Orange St, New Smyrna Beach, FL 32168. The listed phone number is (386) 423-0333.

What is Jacob Rouse's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Jacob Rouse enrolled in Medicare?

Yes. Jacob Rouse 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.

What insurance does Jacob Rouse accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Jacob Rouse 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.

Is Jacob Rouse affiliated with any hospitals?

According to CMS data, Jacob Rouse is affiliated with Adventhealth New Smyrna Beach and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Jacob Rouse was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.