JACOB CHAMBERLAIN DO
NPI 1225614019
Radiology - Diagnostic Radiology in Wright Patterson Afb, OH

Q: What is Jacob Chamberlain's NPI number?

The NPI number for Jacob Chamberlain is 1225614019. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Jacob Chamberlain'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 Chamberlain was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 March 22, 2021PECOS Enrolled

4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433(937) 257-0837 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jacob Chamberlain Do NPPES

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

JACOB CHAMBERLAIN DO (NPI 1225614019) is an individual diagnostic radiology provider in Wright Patterson Afb, Ohio, licensed in Indiana (02007783A) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225614019

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJACOB CHAMBERLAINCredential: DO

Location Address4881 SUGAR MAPLE DR BLDG 830Wright Patterson Afb, OH 45433-5529

Mailing Address4881 Sugar Maple Dr Bldg 830Wright Patterson Afb, OH 45433-5529 · (937) 257-0837

Phone(937) 257-0837

Sole ProprietorNo

Enumeration DateMarch 22, 2021

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1225614019 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 IN · 02007783A

Definition

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

4881 SUGAR MAPLE DR BLDG 830, Wright Patterson Afb, OH 45433

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Chamberlain Do 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 45433 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.

Other Providers at the Same Location NPPES 16

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

DR. MATTHEW RAY DOUBRAVA M.D.

General Practice