JACQUELINE NICOLE JACOBS MD, MPH
NPI 1316523954
Radiology - Diagnostic Radiology in Boston, MA

Active since March 23, 2021PECOS Enrolled

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2026, May 6, 2026, Mar 23, 2021 (3 updates tracked since 2021).

About Jacqueline Nicole Jacobs Md, Mph NPPES

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

JACQUELINE NICOLE JACOBS MD, MPH (NPI 1316523954) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1027451) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2021).

NPPES Registry Identity

NPI1316523954
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameJACQUELINE NICOLE JACOBSCredential: MD, MPH
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2696
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1316523954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MA · 1027451
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

55 FRUIT ST, Boston, MA 02114

Medicare Participation & PECOS Enrollment Status

Jacqueline Jacobs is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jacqueline Jacobs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7012316797

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20260521000757

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02114 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $97.64
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $24.41
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.84
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $19.71
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST, WARREN 1220
BOSTON, MA 02114
Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST, 4710B
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, BUL 119
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, MGH, BULFINCH 2
BOSTON, MA 02114
Urology
55 FRUIT ST, GRB 1102
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, CLN 3
BOSTON, MA 02114
Orthopaedic Surgery
55 FRUIT ST, YAW 3E ORTHOPAEDIC ASSOCIATES
BOSTON, MA 02114
Pathology (Anatomic Pathology)
55 FRUIT ST, PATHOLOGY ASSOCIATES WRN 2
BOSTON, MA 02114
Pathology (Anatomic Pathology & Clinical Pathology)
55 FRUIT ST, GRB 5 PATHOLOGY ASSOCIATES
BOSTON, MA 02114
Psychologist
55 FRUIT ST, YAW 6A MASSACHUSSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Internal Medicine (Pulmonary Disease)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology (Pain Medicine)
55 FRUIT ST, CLN 309 ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
55 FRUIT ST, WEL 5
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST, INFECTIOUS DISEASE ASSOCIATES GRJ 504
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST, S50 4 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, CLN 3
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, FND 8 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA 02114
Anesthesiology (Critical Care Medicine)
55 FRUIT ST, ANESTHESIA ASSOCIATES GRB 406E
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316523954, enumerated as an "individual" on March 23, 2021.

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 726-2000.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.