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DR. LARA MICHELLE JACOBSON M.D.
NPI 1477602415
Pediatrics in Perris, CA

Active since January 09, 2007PECOS Enrolled
81.57/100
CMS Quality Rating
21705 MARTIN ST, PERRIS, CA 92570(833) 867-4642 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 18, 2023, Oct 19, 2018 (2 updates tracked since 2018).

About Dr. Lara Michelle Jacobson M.d. NPPES

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

DR. LARA MICHELLE JACOBSON M.D. (NPI 1477602415) is an individual pediatrics provider in Perris, California, licensed in California (C184994) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2006).

NPPES Registry Identity

NPI1477602415
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LARA MICHELLE JACOBSONCredential: M.D.
Location Address21705 MARTIN STPerris, CA 92570-7316
Mailing Address21705 Martin StPerris, CA 92570-7316 · (833) 867-4642
Phone(833) 867-4642
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2006
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJune 21, 20262 updates tracked since enumeration
NPPES CertifiedJune 21, 2026
✔ NPI 1477602415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · C184994
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

21705 MARTIN ST, Perris, CA 92570
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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)

Dr. Lara Michelle Jacobson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264588029
PECOS Enrollment IDI20260324002186
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 92570 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.18
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

NEIGHBORHOOD HEALTHCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
21705 MARTIN ST
PERRIS, CA 92570
Riverside County (833) 867-4642
HEATHER MARGARET KNIGHT
Physician Assistant (Medical)
21705 MARTIN ST
PERRIS, CA 92570
Riverside County (833) 867-4642
MS. EMILY ELIZABETH MASON M.S.W.
Social Worker (Clinical)
21705 MARTIN ST
PERRIS, CA 92570
Riverside County (415) 601-0977

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 Lara Jacobson's NPI number?

The NPI number for Lara Jacobson is 1477602415. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Lara Jacobson located?

Lara Jacobson practices at 21705 Martin St, Perris, CA 92570. The listed phone number is (833) 867-4642.

What is Lara Jacobson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lara Jacobson enrolled in Medicare?

Yes. Lara Jacobson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Jacobson was last updated on June 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.