DR. RICHARD KEITH JACOB JR. MD
NPI 1316061179
Surgery in Monroe, GA

Q: What is Richard Jacob's NPI number?

The NPI number for Richard Jacob is 1316061179. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Richard Jacob's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Jacob was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 19, 2007PECOS EnrolledAccepts Medicare Assignment

98.5/100

CMS Quality Rating

2151 W SPRING ST STE B210, MONROE, GA 30655(770) 207-5738(770) 266-7346 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Apr 22, 2019 (2 updates tracked since 2019).

On this page

About Dr. Richard Keith Jacob Jr. Md NPPES

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

DR. RICHARD KEITH JACOB JR. MD (NPI 1316061179) is an individual surgery provider in Monroe, Georgia, licensed in Georgia (58881) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2005).

NPPES Registry Identity

NPI1316061179

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. RICHARD KEITH JACOB JR.Credential: MD

Location Address2151 W SPRING ST STE B210Monroe, GA 30655

Mailing Address2151 W Spring St Ste B210Monroe, GA 30655-3214 · (770) 207-5738 · Fax (770) 266-7346

Phone(770) 207-5738

Fax(770) 266-7346

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2005

Enumeration DateMarch 19, 2007

Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1316061179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 58881

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2151 W SPRING ST STE B210, Monroe, GA 30655

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 and accepts Medicare assignment

Dr. Richard Keith Jacob Jr. 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 ID5597023028

PECOS Enrollment IDI20190410000623

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.

Hospital Affiliations CMS Care Compare

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110046

Location2151 W Spring StreetMonroe, GA 30655 · Walton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

98.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 3

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

MICHAEL BRANDON WILLIAMS MD

Surgery

2151 W SPRING ST STE B210
MONROE, GA 30655

Walton County (770) 207-5738

DR. NATHANIEL LEON HILL II D.O.

Surgery

2151 W SPRING ST STE B210
MONROE, GA 30655

Walton County (770) 207-5738

DR. ROSEMARY CHICKOS D.O.

Surgery

2151 W SPRING ST STE B210
MONROE, GA 30655

Walton County (770) 207-5738

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 Richard Jacob's NPI number?

The NPI number for Richard Jacob is 1316061179. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Richard Jacob located?

Richard Jacob practices at 2151 W Spring St Ste B210, Monroe, GA 30655. The listed phone number is (770) 207-5738.

What is Richard Jacob's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Jacob enrolled in Medicare?

Yes. Richard Jacob 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 Richard Jacob accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Richard Jacob 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 Richard Jacob affiliated with any hospitals?

According to CMS data, Richard Jacob is affiliated with Piedmont Walton Hospital.

When was this NPI record last updated?

The NPPES record for Richard Jacob was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.