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

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, is affiliated with Whitesburg Arh Hospital, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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

Jacob Edens M.d. 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 ID9931506763
PECOS Enrollment IDI20220822003537
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.

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

Hospital Affiliations CMS Care Compare 5

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Edens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee 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.

Is Jacob Edens affiliated with any hospitals?

According to CMS data, Jacob Edens is affiliated with Whitesburg Arh Hospital, Highlands Arh Regional Medical Center, Saint Joseph Hospital, Hazard Arh Regional Medical Center and Taylor Regional Hospital.

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.