DR. JACOB DANIEL KOHLENBERG M.D.
NPI 1306225990
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rochester, MN

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2020, Jul 3, 2018, Mar 18, 2017 (3 updates tracked since 2017).

About Dr. Jacob Daniel Kohlenberg M.d. NPPES

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

DR. JACOB DANIEL KOHLENBERG M.D. (NPI 1306225990) is an individual endocrinology, diabetes & metabolism provider in Rochester, Minnesota, licensed in Minnesota (61101) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Medical College Of Wisconsin (2015).

NPPES Registry Identity

NPI1306225990
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. JACOB DANIEL KOHLENBERGCredential: M.D.
Location Address200 1ST ST SWRochester, MN 55905
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2015
Enumeration DateMay 28, 2015
Last NPPES UpdateSeptember 2, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
NPI 1306225990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in MN · 61101
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 61101 (MN)
200 1ST ST SW, Rochester, MN 55905

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

Dr. Jacob Daniel Kohlenberg 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 ID7810208477
PECOS Enrollment IDI20160825000244
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 10

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.
49 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services28 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.
33 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services12 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers14 claims180 services$17.62 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers13 claims390 services$2.38 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers18 claims18 services$319.28 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers113 claims113 services$187.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Kohlenberg's NPI number?

The NPI number for Jacob Kohlenberg is 1306225990. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Jacob Kohlenberg located?

Jacob Kohlenberg practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Jacob Kohlenberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jacob Kohlenberg enrolled in Medicare?

Yes. Jacob Kohlenberg 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 Kohlenberg accept?

Health plans from Medica and Sanford Health Plan list Jacob Kohlenberg 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 Kohlenberg affiliated with any hospitals?

According to CMS data, Jacob Kohlenberg is affiliated with Fairview Lakes Health Services, M Health Fairview University Of Mn and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Kohlenberg was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.