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MR. POTHEN JACOB MD
NPI 1467423004
Internal Medicine - Gastroenterology in Safety Harbor, FL

Active since January 31, 2006PECOS Enrolled
1840 MEASE DR STE 305, SAFETY HARBOR, FL 34695(727) 796-4166(727) 669-5849 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2020, Mar 21, 2018 (2 updates tracked since 2018).

About Mr. Pothen Jacob Md NPPES

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

MR. POTHEN JACOB MD (NPI 1467423004) is an individual gastroenterology provider in Safety Harbor, Florida, licensed in Florida (ME55603) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467423004
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. POTHEN JACOBCredential: MD
Location Address1840 MEASE DR STE 305Safety Harbor, FL 34695-6605
Mailing Address3001 Executive DrClearwater, FL 33762-5323 · (727) 347-0005 · Fax (727) 541-6558
Phone(727) 796-4166
Fax(727) 669-5849
Sole ProprietorNo
Enumeration DateJanuary 31, 2006
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1467423004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME55603
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1840 MEASE DR STE 305, Safety Harbor, FL 34695
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Other Identifiers 12

Other1035494Careplus
Other206516Av Med
Other225659Amerigroup
Other1200283-007Cigna
Other100013671Railroad Medicare
Other01990Wellcare
Other08999Bcbs Florida
Other9630253Ghi
Medicaid055528200FL
Other2905049United Healthcare
Other4248344Aetna
Other10694801Citrus Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Pothen Jacob Md 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 Pothen Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Central Gastroenterology LLP
10 mi
Gastroenterology
3001 EXECUTIVE DR, SUITE 130
Clearwater, FL 33762
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1144454703 (727) 347-0005

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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
21 services21 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
20 services20 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34695 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Pothen Jacob's NPI number?

The NPI number for Pothen Jacob is 1467423004. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Pothen Jacob located?

Pothen Jacob practices at 1840 Mease Dr Ste 305, Safety Harbor, FL 34695. The listed phone number is (727) 796-4166.

What is Pothen Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pothen Jacob enrolled in Medicare?

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

Which organization bills Medicare for Pothen Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pothen Jacob reassigns Medicare benefits to West Central Gastroenterology LLP (Clearwater, FL). 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 Pothen Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pothen Jacob accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and AvMed list Pothen Jacob 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 Pothen Jacob was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.