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EVAN JACOBSON DO
NPI 1447831375
Family Medicine in Kittery, ME

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, May 19, 2026, Apr 21, 2021 (3 updates tracked since 2021).

About Evan Jacobson Do NPPES

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

EVAN JACOBSON DO (NPI 1447831375) is an individual family medicine provider in Kittery, Maine, licensed in Maine (DO4258) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).

NPPES Registry Identity

NPI1447831375
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEVAN JACOBSONCredential: DO
Location Address8 LEWIS RDKittery, ME 03904
Mailing Address8 Lewis RdKittery, ME 03904 · (413) 588-1897
Phone(413) 588-1897
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2021
Enumeration DateApril 21, 2021
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1447831375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · DO4258
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8 LEWIS RD, Kittery, ME 03904
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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

Evan Jacobson Do 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 ID3678043726
PECOS Enrollment IDI20260529001197
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 Evan Jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vantage Healthcare Inc
Same address
Internal Medicine
9 LEWIS RD
Kittery, ME 03904
  • Reassigned Medicare billing, Maine enrollment
  • 8 clinicians in this Medicare group
NPI 1386474625 (781) 867-2050

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 03904 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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 Evan Jacobson's NPI number?

The NPI number for Evan Jacobson is 1447831375. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Evan Jacobson located?

Evan Jacobson practices at 8 Lewis Rd, Kittery, ME 03904. The listed phone number is (413) 588-1897.

What is Evan Jacobson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evan Jacobson enrolled in Medicare?

Yes. Evan Jacobson 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 organization bills Medicare for Evan Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Jacobson reassigns Medicare benefits to Vantage Healthcare Inc (Kittery, ME). 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 Evan Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evan Jacobson was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.