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JACOB D LUDVIK PHYSICIAN ASSISTANT
NPI 1427585322
Physician Assistant in Redlands, CA

Active since May 23, 2017PECOS EnrolledAccepts Medicare Assignment
1901 W LUGONIA AVE STE 230, REDLANDS, CA 92374(909) 557-1600 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, May 23, 2017 (2 updates tracked since 2017).

About Jacob D Ludvik Physician Assistant NPPES

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

JACOB D LUDVIK PHYSICIAN ASSISTANT (NPI 1427585322) is an individual physician assistant in Redlands, California and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427585322
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB D LUDVIKCredential: PHYSICIAN ASSISTANT
Location Address1901 W LUGONIA AVE STE 230Redlands, CA 92374-9705
Mailing Address1901 W Lugonia Ave Ste 230Redlands, CA 92374-9705
Phone(909) 557-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2017
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
✔ NPI 1427585322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1901 W LUGONIA AVE STE 230, Redlands, CA 92374
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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

Jacob D Ludvik Physician Assistant 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 ID5294000717
PECOS Enrollment IDI20171010002262
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 92374 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 3

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

CHRISTOPHER M MANTIK MD
Physical Medicine & Rehabilitation
1901 W LUGONIA AVE STE 230
REDLANDS, CA 92374
San Bernardino County (909) 557-1600
SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP, INC.
Orthopaedic Surgery
1901 W LUGONIA AVE STE 230
REDLANDS, CA 92374
San Bernardino County (909) 557-1600
GUADALUPE CASTRO OTR/L
Occupational Therapist
1901 W LUGONIA AVE STE 230
REDLANDS, CA 92374
San Bernardino County (909) 557-1600

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 Ludvik's NPI number?

The NPI number for Jacob Ludvik is 1427585322. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Jacob Ludvik located?

Jacob Ludvik practices at 1901 W Lugonia Ave Ste 230, Redlands, CA 92374. The listed phone number is (909) 557-1600.

What is Jacob Ludvik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Ludvik enrolled in Medicare?

Yes. Jacob Ludvik 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.

When was this NPI record last updated?

The NPPES record for Jacob Ludvik was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.