JACOB PAUL BRUCKER II DO
NPI 1457001489
Ophthalmology in Beavercreek, OH

Q: What is Jacob Brucker's NPI number?

The NPI number for Jacob Brucker is 1457001489. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Jacob Brucker's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Brucker was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2022PECOS Enrolled

2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431(937) 558-3900(937) 558-3999 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2026, Apr 6, 2026 (2 updates tracked since 2026).

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About Jacob Paul Brucker Ii Do NPPES

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

JACOB PAUL BRUCKER II DO (NPI 1457001489) is an individual ophthalmology provider in Beavercreek, Ohio, licensed in Arizona (012274) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457001489

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJACOB PAUL BRUCKER IICredential: DO

Location Address2145 N FAIRFIELD RD STE 100Beavercreek, OH 45431-2783

Mailing Address2145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783

Phone(937) 558-3900

Fax(937) 558-3999

Sole ProprietorNo

Enumeration DateMarch 24, 2022

Last NPPES UpdateMay 19, 20262 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1457001489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in AZ · 012274

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 58.032632 (OH)

2145 N FAIRFIELD RD STE 100, Beavercreek, OH 45431

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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 (PECOS)

Jacob Paul Brucker Ii Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

KYLER BENJAMIN DYKES MD

Student in an Organized Health Care Education/Training Program