DR. JACOB KEFGEN DDS
NPI 1508265992
Dentist - General Practice in Everett, WA

Q: What is Jacob Kefgen's NPI number?

The NPI number for Jacob Kefgen is 1508265992. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Q: What is Jacob Kefgen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Kefgen was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 21, 2014PECOS Enrolled

1019 112TH ST SW, EVERETT, WA 98204(425) 551-6001 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jacob Kefgen Dds NPPES

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

DR. JACOB KEFGEN DDS (NPI 1508265992) is an individual general practice provider in Everett, Washington, licensed in Washington (DE60480884) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508265992

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACOB KEFGENCredential: DDS

Location Address1019 112TH ST SWEverett, WA 98204-4875

Mailing Address1019 112th St SwEverett, WA 98204-4875 · (425) 551-6001

Phone(425) 551-6001

Sole ProprietorNo

Enumeration DateAugust 21, 2014

Last NPPES UpdateJanuary 5, 2021

NPPES CertifiedJanuary 5, 2021

✔ NPI 1508265992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE60480884

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1019 112TH ST SW, Everett, WA 98204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Jacob Kefgen Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98204 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

JULIA YUNKYUNG YI PA-C

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