RACHAEL SUE JACOBY MD
NPI 1265659213
Ophthalmology in Salt Lake City, UT

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132(801) 581-2352 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachael Sue Jacoby Md NPPES

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

RACHAEL SUE JACOBY MD (NPI 1265659213) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in Utah (5764061-1205) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Creighton University School Of Medicine (2004).

NPPES Registry Identity

NPI1265659213
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameRACHAEL SUE JACOBYCredential: MD
Location Address65 MARIO CAPECCHI DRSalt Lake City, UT 84132-0001
Mailing AddressPo Box 413075Salt Lake City, UT 84141-3075 · (801) 213-3900
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2004
Enumeration DateApril 19, 2007
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
NPI 1265659213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in UT · 5764061-1205
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
65 MARIO CAPECCHI DR, Salt Lake City, UT 84132

Other Identifiers 2

Other60966WI · Dean Health Insurance
Medicaid1265659213WI

Accepted 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

Rachael Sue Jacoby Md 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 ID1052419199
PECOS Enrollment IDI20070613000275
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 12

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
10,680 services46 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
761 services324 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
444 services154 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
364 services47 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
309 services188 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
137 services137 patients

Hospital Affiliations CMS Care Compare 3

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460041
Location1600 West Antelope DriveLayton, UT 84041 · Davis County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost83.98

Other Providers at the Same Location NPPES 19

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

Ophthalmology
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132

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 Rachael Jacoby's NPI number?

The NPI number for Rachael Jacoby is 1265659213. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Rachael Jacoby located?

Rachael Jacoby practices at 65 Mario Capecchi Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2352.

What is Rachael Jacoby's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Rachael Jacoby enrolled in Medicare?

Yes. Rachael Jacoby 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 Rachael Jacoby accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Rachael Jacoby 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 Rachael Jacoby affiliated with any hospitals?

According to CMS data, Rachael Jacoby is affiliated with Intermountain Medical Center, Holy Cross Hospital-Davis and St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Rachael Jacoby was last updated on October 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.