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DR. KENNETH ALLAN JACOBS M.D.
NPI 1417055518
Obstetrics & Gynecology in Portland, OR

Active since September 20, 2006PECOS Enrolled
2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-2200 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Allan Jacobs M.d. NPPES

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

DR. KENNETH ALLAN JACOBS M.D. (NPI 1417055518) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD22997) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417055518
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KENNETH ALLAN JACOBSCredential: M.D.
Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623
Mailing Address2801 N Gantenbein AvePortland, OR 97227-1623 · (503) 413-2200
Phone(503) 413-2200
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1417055518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OR · MD22997
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2801 N GANTENBEIN AVE, Portland, OR 97227
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Other Identifiers 1

Medicaid287590OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Allan Jacobs M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

KARI MAGNUSSEN MS
Genetic Counselor, MS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 403-4967
NORTHWEST PEDIATRIC CRITICAL CARE PC
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2794
DR. JANICE FAYE OLSON M.D.
Pediatrics (Pediatric Hematology-Oncology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
RADIOLOGY CONSULTANTS, INC
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 227-2400
KATHY SCHWEITZER CNP
Nurse Practitioner (Neonatal)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2042
DR. JOEL NORMAN LAMPERT PSY.D., LPC, NCC
Psychologist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
DR. NATALIE JUSTINE TEDFORD MD
Pediatrics (Pediatric Emergency Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6500
OMAR J BHUTTA MD
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6565

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 Kenneth Jacobs's NPI number?

The NPI number for Kenneth Jacobs is 1417055518. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kenneth Jacobs located?

Kenneth Jacobs practices at 2801 N Gantenbein Ave, Portland, OR 97227. The listed phone number is (503) 413-2200.

What is Kenneth Jacobs's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kenneth Jacobs enrolled in Medicare?

Yes. Kenneth Jacobs is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Jacobs accept?

Health plans from Providence Health Plan list Kenneth Jacobs 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 Kenneth Jacobs was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.