1. Home
  2. Directory
  3. Alaska
  4. Wasilla
  5. Pediatrics
  6. NPI Profile

DR. JACOB EBY M.D.
NPI 1295112159
Pediatrics in Wasilla, AK

Active since April 29, 2015PECOS Enrolled
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 729-3300(907) 729-6351 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2026, Sep 20, 2022 (2 updates tracked since 2022).

About Dr. Jacob Eby M.d. NPPES

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

DR. JACOB EBY M.D. (NPI 1295112159) is an individual pediatrics provider in Wasilla, Alaska, licensed in Pennsylvania (MD463351) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Toledo Medical College (2015).

NPPES Registry Identity

NPI1295112159
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JACOB EBYCredential: M.D.
Location Address1001 S KNIK GOOSE BAY RDWasilla, AK 99654-8083
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-6351 · Fax (907) 729-8607
Phone(907) 729-3300
Fax(907) 729-6351
Sole ProprietorYes
Medical School CMSToledo Medical CollegeGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1295112159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD463351✔ Licensed in IN · 01098741A
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Childrens PlzDayton, OH 45404-1873 · Phone (937) 641-3433 ext. 1 · Fax (937) 641-5931
Location 22001 W 86th StIndianapolis, IN 46260-1902 · Phone (317) 338-6815

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3870914575
PECOS Enrollment IDI20260528003595
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacob Eby reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southcentral Foundation
Same address
Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
  • Reassigned Medicare billing, Texas enrollment
  • 459 clinicians in this Medicare group
NPI 1003469719 (907) 631-7800
Alaska Native Tribal Health Consortium
30 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662
St Vincent Pediatric Subspecialties
2,994 mi
Pediatrics
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1013967736 (317) 338-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99654 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

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.

SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
DR. ELIZABETH C TURGEON M.D.
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
EMA LUCILLE FIEDLER RDN
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JAMES HALES FNP-C. FNP-BC,
Nurse Practitioner (Family)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JASEN RUSSELL THOMPSON PA-C
Physician Assistant
1001 S KNIK GOOSE BAY RD, PCC WEST
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7851
RAINA PASIEWICZ RD
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
DR. LARA DIANE CHURCH MD
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
SOUTHCENTRAL FOUNDATION
Hearing Aid Equipment
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 729-8624

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 Eby's NPI number?

The NPI number for Jacob Eby is 1295112159. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Jacob Eby located?

Jacob Eby practices at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 729-3300.

What is Jacob Eby's specialty?

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

Is Jacob Eby enrolled in Medicare?

Yes. Jacob Eby is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Eby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Eby reassigns Medicare benefits to 3 organizations: Southcentral Foundation (Wasilla, AK), Alaska Native Tribal Health Consortium (Anchorage, AK) and St Vincent Pediatric Subspecialties (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Eby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Eby accept?

Health plans from CareSource, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Jacob Eby 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.

When was this NPI record last updated?

The NPPES record for Jacob Eby was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.