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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Brucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Retina Consultants, Ltd.
1,606 mi
Retina Specialist
1750 E GLENDALE AVE
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 19 clinicians in this Medicare group
NPI 1164633160 (602) 242-4928

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 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.

MATEO ALBERTO LEAL RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
JORDAN CHRISTIAN COUNCELL MD
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
FATIMA ZEHRA BOUMAHCHAD
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
KATHERINE KRUEGER
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
DR. KATE GRAYSON MEIZLISH MD
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
DR. REID MAXWELL FURSMIDT MD
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
JOHN HARTMAN
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
DR. COURTNEY AMANDA BROWNE
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900

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 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.

Where is Jacob Brucker located?

Jacob Brucker practices at 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431. The listed phone number is (937) 558-3900.

What is Jacob Brucker's specialty?

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

Is Jacob Brucker enrolled in Medicare?

Yes. Jacob Brucker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Brucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Brucker reassigns Medicare benefits to Associated Retina Consultants, Ltd. (Phoenix, AZ). 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 Jacob Brucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Brucker accept?

Health plans from UnitedHealthcare list Jacob Brucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Brucker was last updated on May 19, 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.