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JACOB EDENS M.D.
NPI 1356791768
Pathology - Anatomic Pathology & Clinical Pathology in Royal Oak, MI

Active since June 16, 2016PECOS Enrolled
97.4/100
CMS Quality Rating
3601 W 13 MILE RD, ROYAL OAK, MI 48073(509) 385-6925 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 29, 2020, Mar 30, 2020, Feb 11, 2020 and 1 more (4 updates tracked since 2016).

About Jacob Edens M.d. NPPES

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

JACOB EDENS M.D. (NPI 1356791768) is an individual anatomic pathology & clinical pathology provider in Royal Oak, Michigan, licensed in Michigan (4301501530) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356791768
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJACOB EDENSCredential: M.D.
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address22101 Moross RdDetroit, MI 48236-2148
Phone(509) 385-6925
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 16, 2016
Last NPPES UpdateMay 29, 20204 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
✔ NPI 1356791768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MI · 4301501530
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301110310 (MI)
3601 W 13 MILE RD, Royal Oak, MI 48073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Edens M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931506763
PECOS Enrollment IDI20260703000372
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jacob Edens reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc.
317 mi
Rural Health
1084 HIGHWAY 7, SUITE 2
West Liberty, KY 41472
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1780043927 (606) 743-3065
Chipps, Caffrey & Dubilier, P.S.C
319 mi
Anatomic Pathology & Clinical Pathology
290 BIG RUN RD
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 21 clinicians in this Medicare group
NPI 1336148683 (859) 278-9513
Arh Mary Breckinridge Health Services, Inc.
341 mi
Rural Health
11087 MAIN ST
Martin, KY 41649
  • Reassigned Medicare billing, Kentucky enrollment
  • 97 clinicians in this Medicare group
NPI 1629561733 (606) 285-3690
Medcore Associates, PLLC
788 mi
Anatomic Pathology & Clinical Pathology
1108 ROSS CLARK CIR
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 7 clinicians in this Medicare group
NPI 1992524607 (334) 793-8111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
919 services445 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
180 services55 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
125 services99 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
88 services76 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
53 services40 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
37 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

AMIT BAHL MD, MPH
Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Oakland County (248) 898-0575
CATHERINE LEE PA
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 423-2481
DR. APARNA HARIHARAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-9060
TERRENCE METZ
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000
NICOLE MARIJANOVICH MD
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-7999
VINAYATA MANUBALLA KARETI D.O.
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (661) 948-0803
WESLEY RICHARD BARNES M.D.
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-2800
MELISSA JOY DREWRY M.D.
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000

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 Jacob Edens's NPI number?

The NPI number for Jacob Edens is 1356791768. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Jacob Edens located?

Jacob Edens practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (509) 385-6925.

What is Jacob Edens's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jacob Edens enrolled in Medicare?

Yes. Jacob Edens is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Edens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Edens reassigns Medicare benefits to 4 organizations: Appalachian Regional Healthcare, Inc. (West Liberty, KY), Chipps, Caffrey & Dubilier, P.S.C (Lexington, KY), Arh Mary Breckinridge Health Services, Inc. (Martin, KY) and Medcore Associates, PLLC (Dothan, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Edens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Edens accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jacob Edens 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 Jacob Edens was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.