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PETER HARRISON JACOBY MD
NPI 1467030882
Internal Medicine in Philadelphia, PA

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST, GIBBON BUILDING, PHILADELPHIA, PA 19107(215) 955-6000 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, Jul 16, 2024, Jun 25, 2024 and 1 more (4 updates tracked since 2021).

About Peter Harrison Jacoby Md NPPES

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

PETER HARRISON JACOBY MD (NPI 1467030882) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484717) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Temple University School Of Medicine (2021).

NPPES Registry Identity

NPI1467030882
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePETER HARRISON JACOBYCredential: MD
Location Address111 S 11TH ST, GIBBON BUILDINGPhiladelphia, PA 19107-4824
Mailing Address1200 Old York RdAbington, PA 19001-3788 · (215) 481-2000
Phone(215) 955-6000
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateJune 30, 20254 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1467030882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD484717
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 S 11TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Peter Harrison Jacoby 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 ID7719396332
PECOS Enrollment IDI20240710000198
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 Reassignments

3

Medicare enrollment records show Peter Jacoby reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Community Health Associates, Inc
6.2 mi
Family Medicine
101 E OLNEY AVE, SUITE 400
Phila, PA 19120
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 289 clinicians in this Medicare group
NPI 1558316109 (215) 456-7000
Amh Medical Staff Service Fund
12 mi
Internal Medicine
1200 OLD YORK RD
Abington, PA 19001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 171 clinicians in this Medicare group
NPI 1356384457 (215) 481-2000
Abington Memorial Hospital
12 mi
Hospitalist
1200 OLD YORK RD, DEPARTMENT OF MEDICINE
Abington, PA 19001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 167 clinicians in this Medicare group
NPI 1770508319 (215) 481-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

NICOLE LYNN RENALDI D.O.
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161
LING FAN
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8304
WILLIAM JUSTICE MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-6000
DR. DAVID P. FRIEDMAN M.D.
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2900
DR. WALTER K. KRAFT M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. TAKI GALANIS M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. STEVEN M LUDWIN M.D.
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6610
JENNIFER L SWOPE CRNA
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

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 Peter Jacoby's NPI number?

The NPI number for Peter Jacoby is 1467030882. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Peter Jacoby located?

Peter Jacoby practices at 111 S 11th St Gibbon Building, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.

What is Peter Jacoby's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peter Jacoby enrolled in Medicare?

Yes. Peter Jacoby 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 organizations bill Medicare for Peter Jacoby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Jacoby reassigns Medicare benefits to 3 organizations: Einstein Community Health Associates, Inc (Phila, PA), Amh Medical Staff Service Fund (Abington, PA) and Abington Memorial Hospital (Abington, PA). Each 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 Peter Jacoby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Jacoby accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Peter Jacoby 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.

Is Peter Jacoby affiliated with any hospitals?

According to CMS data, Peter Jacoby is affiliated with Thomas Jefferson University Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Peter Jacoby was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.