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DR. CAROLYN YVETTE JACOBS MD
NPI 1306825575
Pediatrics in Rochester, NY

Active since January 16, 2006PECOS Enrolled
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-2575(585) 922-5033 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carolyn Yvette Jacobs Md NPPES

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

DR. CAROLYN YVETTE JACOBS MD (NPI 1306825575) is an individual pediatrics provider in Rochester, New York, licensed in New York (225602) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1306825575
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CAROLYN YVETTE JACOBSCredential: MD
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address1425 Portland AveRochester, NY 14621-3001 · (585) 922-2575 · Fax (585) 922-5033
Phone(585) 922-2575
Fax(585) 922-5033
Sole ProprietorNo
Enumeration DateJanuary 16, 2006
Last NPPES UpdateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1306825575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 225602
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.
1425 PORTLAND AVE, Rochester, NY 14621
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Secondary Practice Location 1

Location 11301 Fayetteville StDurham, NC 27707-2398 · Phone (919) 956-4508

Other Identifiers 1

Medicaid02688306NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carolyn Yvette Jacobs Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

DR. NIAZ AHMED D.D.S.
Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
DR. BRIAN JOHN THOMAS D.O.
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4159
LISA NICOLE FRONCZAK PA-C
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ANDREW ROTANDO DO
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3469
ALEXANDER VAZZANO MD
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4638
AMY BODROG MD
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4020
NUMRA ASLAM BAJWA MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-5067
DR. PRAKASH UPRETI MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (295) 029-8769

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 Carolyn Jacobs's NPI number?

The NPI number for Carolyn Jacobs is 1306825575. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Carolyn Jacobs located?

Carolyn Jacobs practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-2575.

What is Carolyn Jacobs's specialty?

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

Is Carolyn Jacobs enrolled in Medicare?

Yes. Carolyn Jacobs is registered in the Medicare PECOS enrollment system.

What insurance does Carolyn Jacobs accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Carolyn Jacobs 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 Carolyn Jacobs was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.