DR. JACOB COOPER DEWEERTH M.D.
NPI 1306265582
Pain Medicine - Pain Medicine in Minneapolis, MN

Q: What is Jacob Deweerth's NPI number?

The NPI number for Jacob Deweerth is 1306265582. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Jacob Deweerth's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Deweerth was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 15, 2014PECOS EnrolledAccepts Medicare Assignment

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Jul 29, 2019, Jul 24, 2019 (3 updates tracked since 2019).

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About Dr. Jacob Cooper Deweerth M.d. NPPES

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

DR. JACOB COOPER DEWEERTH M.D. (NPI 1306265582) is an individual pain medicine provider in Minneapolis, Minnesota, licensed in Minnesota (65497) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2014).

NPPES Registry Identity

NPI1306265582

Entity TypeIndividualMale

Primary Taxonomy208VP0000X

Provider Legal NameDR. JACOB COOPER DEWEERTHCredential: M.D.

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address1 Veterans Drive, Department Of Rehabilitation And Physical MedicineMinneapolis, MN 55417-2309 · (612) 467-4646 · Fax (612) 467-2333

Phone(612) 672-6000

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2014

Enumeration DateApril 15, 2014

Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1306265582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

License✔ Licensed in MN · 65497

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 65497 (MN)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 65497 (MN)

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford 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

Dr. Jacob Cooper Deweerth 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 ID3173826104

PECOS Enrollment IDI20190618001845

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 55454 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.

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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner