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JACOB H GREGERSON MD
NPI 1417212291
Pediatrics in Gahanna, OH

Active since July 09, 2012PECOS Enrolled
5175 MORSE RD STE 400, GAHANNA, OH 43230(614) 741-4411(614) 741-4412 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2020, Sep 15, 2016 (2 updates tracked since 2016).

About Jacob H Gregerson Md NPPES

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

JACOB H GREGERSON MD (NPI 1417212291) is an individual pediatrics provider in Gahanna, Ohio, licensed in Ohio (35.138535) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417212291
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACOB H GREGERSONCredential: MD
Location Address5175 MORSE RD STE 400Gahanna, OH 43230-3458
Mailing Address5175 Morse Rd Ste 400Gahanna, OH 43230-3458 · (614) 741-4411 · Fax (614) 741-4412
Phone(614) 741-4411
Fax(614) 741-4412
Sole ProprietorNo
Enumeration DateJuly 9, 2012
Last NPPES UpdateJune 12, 20202 updates tracked since enumeration
NPPES CertifiedJune 12, 2020
✔ NPI 1417212291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.138535
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5175 MORSE RD STE 400, Gahanna, OH 43230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob H Gregerson Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Gregerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,924 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

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 43230 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 2

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

ADAM KIRKLAND MD
Pediatrics
5175 MORSE RD STE 400
GAHANNA, OH 43230
Franklin County (614) 741-4411
DR. LUCAS PAUL REINHART D.C.
Chiropractor
5175 MORSE RD STE 400
GAHANNA, OH 43230
Franklin County (614) 337-8111

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 Jacob Gregerson's NPI number?

The NPI number for Jacob Gregerson is 1417212291. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Jacob Gregerson located?

Jacob Gregerson practices at 5175 Morse Rd Ste 400, Gahanna, OH 43230. The listed phone number is (614) 741-4411.

What is Jacob Gregerson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacob Gregerson enrolled in Medicare?

Yes. Jacob Gregerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Gregerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Gregerson reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The 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 Jacob Gregerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Gregerson accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Jacob Gregerson 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 Jacob Gregerson was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.