TIMOTHY DALE JACOBSON D.D.S.
NPI 1326113127
Dentist in Saint Cloud, MN

Active since November 21, 2006PECOS Enrolled
1411 W SAINT GERMAIN ST, SUITE #103, SAINT CLOUD, MN 56301(320) 253-2121 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Dale Jacobson D.d.s. NPPES

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

TIMOTHY DALE JACOBSON D.D.S. (NPI 1326113127) is an individual dentist in Saint Cloud, Minnesota, licensed in Minnesota (11661) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326113127
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTIMOTHY DALE JACOBSONCredential: D.D.S.
Location Address1411 W SAINT GERMAIN ST, SUITE #103Saint Cloud, MN 56301-4121
Mailing Address1411 W Saint Germain St, Suite #103Saint Cloud, MN 56301-4121 · (320) 253-2121
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1326113127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MN · 11661
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1411 W SAINT GERMAIN ST, Saint Cloud, MN 56301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy Dale Jacobson D.d.s. 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 56301 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 11

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1411 W SAINT GERMAIN ST, SUITE 104
SAINT CLOUD, MN 56301
Hearing Instrument Specialist
1411 W SAINT GERMAIN ST, STE 203
SAINT CLOUD, MN 56301
Dentist
1411 W SAINT GERMAIN ST, SUITE #103
SAINT CLOUD, MN 56301
Dentist (General Practice)
1411 W SAINT GERMAIN ST, SUITE #103
SAINT CLOUD, MN 56301
Hearing Instrument Specialist
1411 W SAINT GERMAIN ST, #203
SAINT CLOUD, MN 56301
Hearing Instrument Specialist
1411 W SAINT GERMAIN ST, #203
SAINT CLOUD, MN 56301
Dentist
1411 W SAINT GERMAIN ST, SUITE #103
SAINT CLOUD, MN 56301
Audiologist-Hearing Aid Fitter
1411 W SAINT GERMAIN ST, STE 203
SAINT CLOUD, MN 56301

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 Timothy Jacobson's NPI number?

The NPI number for Timothy Jacobson is 1326113127. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Timothy Jacobson located?

Timothy Jacobson practices at 1411 W Saint Germain St Suite #103, Saint Cloud, MN 56301. The listed phone number is (320) 253-2121.

What is Timothy Jacobson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Timothy Jacobson enrolled in Medicare?

Yes. Timothy Jacobson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Jacobson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.