DR. BRYAN JACOBS DMD, MS
NPI 1386079689
Dentist - Prosthodontics in Skokie, IL

Q: What is Bryan Jacobs's NPI number?

The NPI number for Bryan Jacobs is 1386079689. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Q: What is Bryan Jacobs's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: Is Bryan Jacobs enrolled in Medicare?

No. Bryan Jacobs has opted out of Medicare through April 3, 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.

Q: When was this NPI record last updated?

The NPPES record for Bryan Jacobs was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 05, 2013Opted out of Medicare · through Apr 3, 2028

4905 OLD ORCHARD CTR STE 728, SKOKIE, IL 60077(847) 676-1432 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bryan Jacobs Dmd, Ms NPPES

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

DR. BRYAN JACOBS DMD, MS (NPI 1386079689) is an individual prosthodontics provider in Skokie, Illinois, licensed in Illinois (019.029615) and active in the NPI registry since September 2013. He has opted out of Medicare through April 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386079689

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. BRYAN JACOBSCredential: DMD, MS

Location Address4905 OLD ORCHARD CTR STE 728Skokie, IL 60077-4734

Mailing Address345 E Wacker Dr Unit 4112Chicago, IL 60601-5274 · (734) 276-9804

Phone(847) 676-1432

Sole ProprietorNo

Enumeration DateSeptember 5, 2013

✔ NPI 1386079689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

Licenses✔ Licensed in IL · 019.029615✔ Licensed in MI · 2901020269

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

4905 OLD ORCHARD CTR STE 728, Skokie, IL 60077

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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. Bryan Jacobs Dmd, Ms 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 April 3, 2016 through April 3, 2028.

Opt-Out Effective DateApril 3, 2016

Opt-Out In Effect ThroughApril 3, 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 60077 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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

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

DENTAL PROFESSIONALS OF OLD ORCHARD LTD

Durable Medical Equipment & Medical Supplies (Customized Equipment)

4905 OLD ORCHARD CTR STE 728
SKOKIE, IL 60077

Cook County (847) 676-1432

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 Bryan Jacobs's NPI number?

The NPI number for Bryan Jacobs is 1386079689. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Bryan Jacobs located?

Bryan Jacobs practices at 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077. The listed phone number is (847) 676-1432.

What is Bryan Jacobs's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Bryan Jacobs enrolled in Medicare?

No. Bryan Jacobs has opted out of Medicare through April 3, 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.

When was this NPI record last updated?

The NPPES record for Bryan Jacobs was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.