DOUGLAS SCOTT JACOBY
NPI 1477580371
Internal Medicine - Cardiovascular Disease in Philadelphia, PA
About Douglas Scott Jacoby NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS SCOTT JACOBY (NPI 1477580371) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD417626) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Douglas Scott Jacoby 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.
Medicare Billing Reassignments
3Medicare enrollment records show Douglas Jacoby reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
- Also billed through NPI 1124122387 (New Jersey)
- 171 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1871981985 (Pennsylvania)
- 3,488 clinicians in this Medicare group
Philadelphia, PA 19145
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
- 983 clinicians in this Medicare group
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 19
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center Of Princeton At Plainsboro
Acute Care Hospitals · Plainsboro, NJHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAChester County Hospital
Acute Care Hospitals · West Chester, PAPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19104
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 Douglas Jacoby's NPI number?
The NPI number for Douglas Jacoby is 1477580371. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Douglas Jacoby located?
Douglas Jacoby practices at 51 N 39th St 4 Hvp, Philadelphia, PA 19104. The listed phone number is (215) 662-9189.
What is Douglas Jacoby's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Douglas Jacoby enrolled in Medicare?
Yes. Douglas 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 Douglas Jacoby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Jacoby reassigns Medicare benefits to 3 organizations: Clinical Health Care Associates Of New Jersey, PC (Philadelphia, PA), University Of Penn-Medical Group (Philadelphia, PA) and Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, 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 Douglas Jacoby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Jacoby accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Douglas 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 Douglas Jacoby affiliated with any hospitals?
According to CMS data, Douglas Jacoby is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.
When was this NPI record last updated?
The NPPES record for Douglas Jacoby was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Douglas Scott Jacoby · NPI 1477580371
Cardiovascular Disease physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1477580371 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD417626 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 N 39TH ST, 4 HVP, Philadelphia, PA 19104-2640
- **Phone:** (215) 662-9189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Clinical Health Care Associates Of New Jersey, PC (NPI 1902844806, Philadelphia, PA); University Of Penn-Medical Group (NPI 1083002000, Philadelphia, PA); Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1508380452, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** August 18, 2015
- **Other identifiers:** Medicaid 1014170250003 (PA); Medicare PIN 095210 (PA); Medicare UPIN I43641
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Source: [NPI Profile](https://npiprofile.com/npi/1477580371) · Data from the CMS NPPES public registry.