TREVOR DEAN JACOBSON M.D.
NPI 1366677759
Family Medicine in Montpelier, ID

Q: What is Trevor Jacobson's NPI number?

The NPI number for Trevor Jacobson is 1366677759. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Q: What is Trevor Jacobson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Trevor Jacobson was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 28, 2009PECOS EnrolledAccepts Medicare Assignment

166 S 5TH ST, MONTPELIER, ID 83254(208) 847-1110(208) 847-0228 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Trevor Dean Jacobson M.d. NPPES

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

TREVOR DEAN JACOBSON M.D. (NPI 1366677759) is an individual family medicine provider in Montpelier, Idaho, licensed in Idaho (M-12665) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Bear Lake Memorial Hospital, and is a graduate of University Of Utah School Of Medicine (2009).

NPPES Registry Identity

NPI1366677759

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTREVOR DEAN JACOBSONCredential: M.D.

Location Address166 S 5TH STMontpelier, ID 83254-4959

Mailing AddressPo Box 69Montpelier, ID 83254-0069 · (208) 847-1110 · Fax (208) 847-0228

Phone(208) 847-1110

Fax(208) 847-0228

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2009

Enumeration DateMay 28, 2009

Last NPPES UpdateDecember 11, 2014

✔ NPI 1366677759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M-12665

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.

166 S 5TH ST, Montpelier, ID 83254

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health.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

Trevor Dean Jacobson 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 ID1052560661

PECOS Enrollment IDI20141226000672

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services11 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Bear Lake Memorial Hospital

Critical Access Hospitals · Montpelier, ID

OwnershipGovernment - Local

CMS Certification Number131316

Location164 South Fifth StreetMontpelier, ID 83254 · Bear Lake County

Emergency services

Logan Regional Hospital

Acute Care Hospitals · Logan, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460015

Location1400 North 500 EastLogan, UT 84341 · Cache County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83254 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier13 claims22 services$5.36 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers11 claims66 services$3.00 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers52 claims52 services$19.65 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers109 claims109 services$107.93 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers23 claims23 services$195.56 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

FLINT DEAN JACOBSON NP

Nurse Practitioner (Family)