JACOB MATHESON DO
NPI 1265177000
Family Medicine in Bainbridge Island, WA

Q: What is Jacob Matheson's NPI number?

The NPI number for Jacob Matheson is 1265177000. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Q: What is Jacob Matheson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Matheson was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 04, 2022PECOS EnrolledAccepts Medicare Assignment

1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110(206) 842-5632(206) 842-5992 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Aug 29, 2023, May 4, 2022 (3 updates tracked since 2022).

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About Jacob Matheson Do NPPES

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

JACOB MATHESON DO (NPI 1265177000) is an individual family medicine provider in Bainbridge Island, Washington, licensed in Washington (OP61307188) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265177000

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACOB MATHESONCredential: DO

Location Address1344 WINTERGREEN LN NEBainbridge Island, WA 98110-5147

Mailing AddressPo Box 741515Los Angeles, CA 90074-1515

Phone(206) 842-5632

Fax(206) 842-5992

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 4, 2022

Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1265177000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · OP61307188

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1344 WINTERGREEN LN NE, Bainbridge Island, WA 98110

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Other Identifiers 1

Medicaid2214646WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Matheson 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 ID547624355

PECOS Enrollment IDI20250822001826

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 3

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

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500005

Location925 Seneca StSeattle, WA 98101 · King County

Emergency services Birthing friendly

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500039

Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County

Emergency services Birthing friendly

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501333

Location603 South ChestnutEllensburg, WA 98926 · Kittitas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98110 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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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.

ALEXIS JO CARLSON APRN

Nurse Practitioner (Family)