DR. JACK F JACOUB M.D.
NPI 1528016318
Internal Medicine - Hematology & Oncology in Fountain Valley, CA

Q: What is Jack Jacoub's NPI number?

The NPI number for Jack Jacoub is 1528016318. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Jack Jacoub's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Jack Jacoub was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

76.74/100

CMS Quality Rating

18111 BROOKHURST ST STE 6100, FOUNTAIN VALLEY, CA 92708(714) 378-7330(714) 377-0003 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 26, 2021, Jan 26, 2021 (2 updates tracked since 2021).

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About Dr. Jack F Jacoub M.d. NPPES

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

DR. JACK F JACOUB M.D. (NPI 1528016318) is an individual hematology & oncology provider in Fountain Valley, California, licensed in California (A79623) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Laguna Hills, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1528016318

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. JACK F JACOUBCredential: M.D.

Location Address18111 BROOKHURST ST STE 6100Fountain Valley, CA 92708-6728

Mailing Address18111 Brookhurst St Ste 6100Fountain Valley, CA 92708-6728 · (714) 378-7330 · Fax (714) 377-0003

Phone(714) 378-7330

Fax(714) 377-0003

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 4, 2006

Last NPPES UpdateMay 26, 20212 updates tracked since enumeration

NPPES CertifiedMay 26, 2021

✔ NPI 1528016318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CA · A79623

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License A79623 (CA)

18111 BROOKHURST ST STE 6100, Fountain Valley, CA 92708

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Secondary Practice Location 1

Location 124411 Health Center Dr Ste 320Laguna Hills, CA 92653-3633 · Phone (949) 380-2670 · Fax (949) 380-0907

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack F Jacoub M.d. 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.

PECOS PAC ID5991888174

PECOS Enrollment IDI20080211000768

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.

Areas of Expertise CMS Part B claims 9

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.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138

Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.

7,650 services11 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

4,260 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

203 services116 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.

120 services69 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

119 services59 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

40 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

76.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.94

Promoting Interoperability

Improvement Activities

Cost

55.12

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%320 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%321 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers15 claims1,000 services$0.57 avg. paid by Medicare

Temozolomide, oral, 5 mg J8700

Treatment-Treatment - Miscellaneous · category RX000N

2 suppliers13 claims2,774 services$0.31 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers17 claims17 services$16.77 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers12 claims14 services$11.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

MARSHA G FINK, MD, INC

Internal Medicine (Hematology & Oncology)