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JACOB TATUM
NPI 1528590916
Surgery in Baltimore, MD

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
720 RUTLAND AVE # ROSS759, BALTIMORE, MD 21205(443) 287-6944 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 19, 2025, Feb 6, 2025 (2 updates tracked since 2025).

About Jacob Tatum NPPES

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

JACOB TATUM (NPI 1528590916) is an individual surgery provider in Baltimore, Maryland, licensed in New Jersey (25MA11981800) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1528590916
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJACOB TATUM
Location Address720 RUTLAND AVE # ROSS759Baltimore, MD 21205-2109
Mailing Address720 Rutland Ave # Ross759Baltimore, MD 21205-2109
Phone(443) 287-6944
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1528590916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA11981800
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
720 RUTLAND AVE # ROSS759, Baltimore, MD 21205
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Secondary Practice Location 1

Location 1825 Fairfax Ave, Suite 610Norfolk, VA 23507-1914 · Phone (757) 446-8937

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

Jacob Tatum 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 ID8527449081
PECOS Enrollment IDI20231205002613
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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21205 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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 Jacob Tatum's NPI number?

The NPI number for Jacob Tatum is 1528590916. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Jacob Tatum located?

Jacob Tatum practices at 720 Rutland Ave # Ross759, Baltimore, MD 21205. The listed phone number is (443) 287-6944.

What is Jacob Tatum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jacob Tatum enrolled in Medicare?

Yes. Jacob Tatum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob Tatum affiliated with any hospitals?

According to CMS data, Jacob Tatum is affiliated with Newark Beth Israel Medical Center and Robert Wood Johnson University Hospital At Rahway.

When was this NPI record last updated?

The NPPES record for Jacob Tatum was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.