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JASON JACOBY DDS
NPI 1376953000
Dentist - General Practice in Iowa City, IA

Active since May 02, 2014Opted out of Medicare · through Dec 6, 2027
801 NEWTON RD, IOWA CITY, IA 52242(319) 335-7440(319) 335-7451 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Jacoby Dds NPPES

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

JASON JACOBY DDS (NPI 1376953000) is an individual general practice provider in Iowa City, Iowa, licensed in Iowa (DDS-10400) and active in the NPI registry since May 2014. He has opted out of Medicare through December 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376953000
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJASON JACOBYCredential: DDS
Location Address801 NEWTON RDIowa City, IA 52242-1001
Mailing Address322 Dental Science Bldg SIowa City, IA 52242-1001 · (319) 335-7440 · Fax (319) 335-7451
Phone(319) 335-7440
Fax(319) 335-7451
Sole ProprietorNo
Enumeration DateMay 2, 2014
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1376953000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · DDS-10400
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 100123715 (WI), 019029754 (IL)
801 NEWTON RD, Iowa City, IA 52242
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Jason Jacoby Dds 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 December 6, 2015 through December 6, 2027.

Opt-Out Effective DateDecember 6, 2015
Opt-Out In Effect ThroughDecember 6, 2027Opt-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 52242 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 20

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

DR. JUSTIN WILLIAM NICHOLS D.D.S.
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
DR. TENIOLA OMOPARIOLA DDS
Dentist
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7499
STEVEN DORRIS
Dentist (Oral and Maxillofacial Radiology)
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
AUSTIN HINKLE
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
JADEN PATRICK HOLTON DDS
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
YAA SERWAA ASUBONTENG BDS
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7499
DR. MICHAEL PATRICK OWEN D.M.D.
Student in an Organized Health Care Education/Training Program
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440
DR. MARAM EMAD JARADAT BDS
Dentist (General Practice)
801 NEWTON RD
IOWA CITY, IA 52242
Johnson County (319) 335-7440

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 Jason Jacoby's NPI number?

The NPI number for Jason Jacoby is 1376953000. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Jason Jacoby located?

Jason Jacoby practices at 801 Newton Rd, Iowa City, IA 52242. The listed phone number is (319) 335-7440.

What is Jason Jacoby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jason Jacoby enrolled in Medicare?

No. Jason Jacoby has opted out of Medicare through December 6, 2027. 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 Jason Jacoby accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Jason Jacoby 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 Jason Jacoby was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.