JACKCY JACOB MD
NPI 1427267210
Internal Medicine in Springfield, MA

Q: What is Jackcy Jacob's NPI number?

The NPI number for Jackcy Jacob is 1427267210. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Jackcy Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: Is Jackcy Jacob enrolled in Medicare?

No. Jackcy Jacob has opted out of Medicare through July 1, 2027. 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 Jackcy Jacob was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 May 21, 2007Opted out of Medicare · through Jul 1, 2027

11 WILBRAHAM RD, SPRINGFIELD, MA 01109(413) 794-3710(413) 794-9595 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jackcy Jacob Md NPPES

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

JACKCY JACOB MD (NPI 1427267210) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (247327) and active in the NPI registry since May 2007. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427267210

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJACKCY JACOBCredential: MD

Location Address11 WILBRAHAM RDSpringfield, MA 01109-3161

Mailing Address280 Chestnut Street 2nd FloorSpringfield, MA 01199 · (413) 794-5700

Phone(413) 794-3710

Fax(413) 794-9595

Sole ProprietorNo

Enumeration DateMay 21, 2007

Last NPPES UpdateJuly 25, 2011

✔ NPI 1427267210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 247327

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11 WILBRAHAM RD, Springfield, MA 01109

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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

Jackcy Jacob Md 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 July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025

Opt-Out In Effect ThroughJuly 1, 2027Opt-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 01109 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 20

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

PAUL A PIRRAGLIA MD

Internal Medicine