DR. SCOTT NEIL JACOBSON MD
NPI 1366658965
Family Medicine in Henderson, NV

Active since May 14, 2007Opted out of Medicare · through Jan 29, 2028
10120 S EASTERN AVE STE 130, HENDERSON, NV 89052(702) 970-1111(702) 688-4373 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott Neil Jacobson Md NPPES

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

DR. SCOTT NEIL JACOBSON MD (NPI 1366658965) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (13465) and active in the NPI registry since May 2007. He has opted out of Medicare through January 29, 2028 and remains eligible to order and refer and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1366658965
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT NEIL JACOBSONCredential: MD
Location Address10120 S EASTERN AVE STE 130Henderson, NV 89052
Mailing Address10120 S Eastern Ave Ste 130Henderson, NV 89052-3953 · (702) 970-1111 · Fax (702) 688-4373
Fax(702) 688-4373
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 16, 2018
NPI 1366658965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NV · 13465
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10120 S EASTERN AVE STE 130, Henderson, NV 89052

Secondary Practice Location 1

Location 13012 S Durango Dr, Suite 1Las Vegas, NV 89117-9186 · Phone (702) 366-0640 · Fax (702) 366-9075

Other Identifiers 2

Other5315026203MI · Controlled Subst License
Other4301087602MI · Ed Limited License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Scott Neil Jacobson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 29, 2018 through January 29, 2028.

Opt-Out Effective DateJanuary 29, 2018
Opt-Out In Effect ThroughJanuary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Other Providers at the Same Location NPPES 5

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

Family Medicine
10120 S EASTERN AVE STE 130
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
10120 S EASTERN AVE STE 130
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
10120 S EASTERN AVE STE 130
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
10120 S EASTERN AVE STE 130
HENDERSON, NV 89052
Nurse Practitioner (Family)
10120 S EASTERN AVE STE 130
HENDERSON, NV 89052

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 Scott Jacobson's NPI number?

The NPI number for Scott Jacobson is 1366658965. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Scott Jacobson located?

Scott Jacobson practices at 10120 S Eastern Ave Ste 130, Henderson, NV 89052. The listed phone number is (702) 970-1111.

What is Scott Jacobson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Jacobson enrolled in Medicare?

No. Scott Jacobson has opted out of Medicare through January 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Scott Jacobson accept?

Health plans from AvMed list Scott Jacobson 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 Scott Jacobson was last updated on July 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.