STEPHEN ERIC JACOBSON D.D.S. PC
NPI 1528077435
Dentist - General Practice in Walled Lake, MI

Q: What is Stephen Jacobson's NPI number?

The NPI number for Stephen Jacobson is 1528077435. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Stephen Jacobson'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 Stephen Jacobson was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 07, 2006PECOS Enrolled

39890 W 14 MILE RD., WALLED LAKE, MI 48390(248) 624-8090(248) 624-8288 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephen Eric Jacobson D.d.s. Pc NPPES

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

STEPHEN ERIC JACOBSON D.D.S. PC (NPI 1528077435) is an individual general practice provider in Walled Lake, Michigan, licensed in Michigan (14257) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528077435

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSTEPHEN ERIC JACOBSONCredential: D.D.S. PC

Location Address39890 W 14 MILE RD.Walled Lake, MI 48390-3911

Mailing Address39890 W 14 Mile Rd.Walled Lake, MI 48390-3911 · (248) 624-8090 · Fax (248) 479-8122

Phone(248) 624-8090

Fax(248) 624-8288

Sole ProprietorNo

Enumeration DateAugust 7, 2006

Last NPPES UpdateMay 4, 2022

NPPES CertifiedMay 4, 2022

✔ NPI 1528077435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 14257

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.

39890 W 14 MILE RD., Walled Lake, MI 48390

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Other Identifiers 1

Other723815MI · United Concordia

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)

Stephen Eric Jacobson D.d.s. Pc 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 48390 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

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 Stephen Jacobson's NPI number?

The NPI number for Stephen Jacobson is 1528077435. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Stephen Jacobson located?

Stephen Jacobson practices at 39890 W 14 Mile Rd., Walled Lake, MI 48390. The listed phone number is (248) 624-8090.

What is Stephen Jacobson's specialty?

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

Is Stephen Jacobson enrolled in Medicare?

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

What insurance does Stephen Jacobson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Stephen Jacobson 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.

When was this NPI record last updated?

The NPPES record for Stephen Jacobson was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.