EVAN MICHAEL JACOBY MD
NPI 1497250062
Psychiatry & Neurology - Psychiatry in Lexington, KY

Q: What is Evan Jacoby's NPI number?

The NPI number for Evan Jacoby is 1497250062. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Evan Jacoby's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Evan Jacoby was last updated on October 14, 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.

Active since March 27, 2018PECOS Enrolled

245 FOUNTAIN CT, LEXINGTON, KY 40509(859) 323-6861(859) 323-1194 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2020, Mar 27, 2018 (2 updates tracked since 2018).

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About Evan Michael Jacoby Md NPPES

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

EVAN MICHAEL JACOBY MD (NPI 1497250062) is an individual psychiatry provider in Lexington, Kentucky, licensed in Kentucky (R4747) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497250062

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameEVAN MICHAEL JACOBYCredential: MD

Location Address245 FOUNTAIN CTLexington, KY 40509-1888

Mailing Address245 Fountain CtLexington, KY 40509-1888 · (859) 323-6021 · Fax (859) 323-1670

Phone(859) 323-6861

Fax(859) 323-1194

Sole ProprietorNo

Enumeration DateMarch 27, 2018

Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration

NPPES CertifiedOctober 14, 2020

✔ NPI 1497250062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in KY · R4747

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPediatricsTaxonomy 208000000X · License R4747 (KY)

245 FOUNTAIN CT, Lexington, KY 40509

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Michael Jacoby 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 Evan Jacoby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc

4.0 mi

Nurse Practitioner

4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
999 clinicians in this Medicare group

NPI 1518360296 (859) 260-4390

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 40509 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

JACOB A BISHOP MD

Psychiatry & Neurology (Psychiatry)