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DR. KENNETH MICHAEL JACOB MD
NPI 1437121829
Radiology - Diagnostic Radiology in Fort Myers, FL

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
19460 CALADESI DR, FORT MYERS, FL 33967(913) 707-0826 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Michael Jacob Md NPPES

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

DR. KENNETH MICHAEL JACOB MD (NPI 1437121829) is an individual diagnostic radiology provider in Fort Myers, Florida, licensed in Missouri (R3D70) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1982).

NPPES Registry Identity

NPI1437121829
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KENNETH MICHAEL JACOBCredential: MD
Location Address19460 CALADESI DRFort Myers, FL 33967-5572
Mailing Address19460 Caladesi Dr, Apt/suiteFort Myers, FL 33967-5572 · (913) 707-0826 · Fax (417) 772-7019
Phone(913) 707-0826
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1982
Enumeration DateFebruary 1, 2006
Last NPPES UpdateNovember 13, 2013
✔ NPI 1437121829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MO · R3D70
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
19460 CALADESI DR, Fort Myers, FL 33967
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified0000574A
Medicare UPINE58991
Other12485021Bcbs
Medicaid203728035MO
Medicaid100154570DKS

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

Dr. Kenneth Michael Jacob Md 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 ID9133115447
PECOS Enrollment IDI20040422000582
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
26 services26 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
23 services22 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
22 services22 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
22 services21 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
21 services21 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33967 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Jacob's NPI number?

The NPI number for Kenneth Jacob is 1437121829. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Kenneth Jacob located?

Kenneth Jacob practices at 19460 Caladesi Dr, Fort Myers, FL 33967. The listed phone number is (913) 707-0826.

What is Kenneth Jacob's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kenneth Jacob enrolled in Medicare?

Yes. Kenneth Jacob 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.

Is Kenneth Jacob affiliated with any hospitals?

According to CMS data, Kenneth Jacob is affiliated with University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Kenneth Jacob was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.