DR. KENNETH ALLAN JACOBS M.D.
NPI 1417055518
Obstetrics & Gynecology in Portland, OR
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, maintains a secondary practice location in Ontario, and is a graduate of University Of Pittsburgh School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kenneth Allan Jacobs 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.
Medicare Billing Reassignments
13Medicare enrollment records show Kenneth Jacobs reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97227
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1184786527 (Washington)
- 3,207 clinicians in this Medicare group
Hillsboro, OR 97123
- Reassigned Medicare billing, Oregon enrollment
- 691 clinicians in this Medicare group
Hillsboro, OR 97123
- Reassigned Medicare billing, Oregon enrollment
- 185 clinicians in this Medicare group
Coos Bay, OR 97420
- Reassigned Medicare billing, Oregon enrollment
- 29 clinicians in this Medicare group
Coos Bay, OR 97420
- Reassigned Medicare billing, Oregon enrollment
- 327 clinicians in this Medicare group
Shady Cove, OR 97539
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Providence Health & Services Oregon
- 181 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 18 clinicians in this Medicare group
Ontario, OR 97914
- Reassigned Medicare billing, Oregon enrollment
- 49 clinicians in this Medicare group
Yuba City, CA 95991
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PORTLAND, OR 97227
PORTLAND, OR 97227
PORTLAND, OR 97227
PORTLAND, OR 97227
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenneth Jacobs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Jacobs reassigns Medicare benefits to 13 organizations: Kaiser Foundation Health Plan Of The Northwest (Portland, OR), Tuality Medical Group LLC (Hillsboro, OR), Tuality Healthcare (Hillsboro, OR), Bay Clinic (Coos Bay, OR), Bay Area Hospital District (Coos Bay, OR) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Jacobs accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon 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 13 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.
# Dr. Kenneth Allan Jacobs, M.D. · NPI 1417055518
Obstetrics & Gynecology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1417055518 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD22997 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2801 N GANTENBEIN AVE, Portland, OR 97227-1623
- **Phone:** (503) 413-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Northwest (NPI 1093043424, Portland, OR); Tuality Medical Group LLC (NPI 1639690704, Hillsboro, OR); Tuality Healthcare (NPI 1073817714, Hillsboro, OR); Bay Clinic (NPI 1538174958, Coos Bay, OR); Bay Area Hospital District (NPI 1225016561, Coos Bay, OR); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pittsburgh School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** August 29, 2025
- **Other identifiers:** Medicaid 287590 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1417055518) · Data from the CMS NPPES public registry.