DR. ZACHARY SHAWN JACOBY OD
NPI 1396437828
Optometrist in Northwood, OH

Active since May 23, 2023PECOS EnrolledAccepts Medicare Assignment
4620 WOODVILLE RD, NORTHWOOD, OH 43619(419) 693-0484 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Zachary Shawn Jacoby Od NPPES

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

DR. ZACHARY SHAWN JACOBY OD (NPI 1396437828) is an individual optometrist in Northwood, Ohio, licensed in Ohio (OPT.007143) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2023).

NPPES Registry Identity

NPI1396437828
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ZACHARY SHAWN JACOBYCredential: OD
Location Address4620 WOODVILLE RDNorthwood, OH 43619-1802
Mailing Address4436 Alexander RdPemberville, OH 43450-9483 · (419) 308-4918
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2023
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
NPI 1396437828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OH · OPT.007143
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4620 WOODVILLE RD, Northwood, OH 43619

Accepted 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

Dr. Zachary Shawn Jacoby Od 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 ID2668839754
PECOS Enrollment IDI20230605002859
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 4

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
102 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services24 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
23 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43619 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Zachary Jacoby's NPI number?

The NPI number for Zachary Jacoby is 1396437828. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Zachary Jacoby located?

Zachary Jacoby practices at 4620 Woodville Rd, Northwood, OH 43619. The listed phone number is (419) 693-0484.

What is Zachary Jacoby's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Zachary Jacoby enrolled in Medicare?

Yes. Zachary Jacoby 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 Zachary 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, MedMutual and Providence Health Plan list Zachary 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 Zachary Jacoby was last updated on May 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.