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ANDREW JACOBS
NPI 1538522487
Family Medicine in Sayville, NY

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
5600 SUNRISE HWY, SAYVILLE, NY 11782(631) 563-7828(631) 563-7837 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 9, 2019, Jun 16, 2016, Mar 29, 2016 (3 updates tracked since 2016).

About Andrew Jacobs NPPES

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

ANDREW JACOBS (NPI 1538522487) is an individual family medicine provider in Sayville, New York, licensed in New York (296966) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538522487
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW JACOBS
Location Address5600 SUNRISE HWYSayville, NY 11782-1017
Mailing Address1345 Rxr Plz Fl 13Uniondale, NY 11556-1301 · (516) 453-0435 · Fax (646) 846-3283
Phone(631) 563-7828
Fax(631) 563-7837
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 29, 2016
Last NPPES UpdateSeptember 9, 20193 updates tracked since enumeration
✔ NPI 1538522487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 296966
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5600 SUNRISE HWY, Sayville, NY 11782
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

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

Andrew Jacobs 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 ID143561712
PECOS Enrollment IDI20240508002086
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 7

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.

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.
123 services115 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.
65 services57 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
49 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11782 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 5

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

CITY MEDICAL OF UPPER EAST SIDE, PLLC
Clinic/Center (Urgent Care)
5600 SUNRISE HWY
SAYVILLE, NY 11782
Suffolk County (631) 563-7828
IOANIS C SIDERIAS MD
Emergency Medicine
5600 SUNRISE HWY, STAT HEALTH
SAYVILLE, NY 11782
Suffolk County (631) 563-7828
SUSAN NAPOLI PA
Physician Assistant
5600 SUNRISE HWY
SAYVILLE, NY 11782
Suffolk County (631) 563-7828
DR. JAMES THOMAS BOPP MD
Emergency Medicine
5600 SUNRISE HWY
SAYVILLE, NY 11782
Suffolk County (631) 563-7828
MRS. CHRISTINA ANN IZZO P.A
Physician Assistant
5600 SUNRISE HWY
SAYVILLE, NY 11782
Suffolk County (631) 563-7828

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 Andrew Jacobs's NPI number?

The NPI number for Andrew Jacobs is 1538522487. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Andrew Jacobs located?

Andrew Jacobs practices at 5600 Sunrise Hwy, Sayville, NY 11782. The listed phone number is (631) 563-7828.

What is Andrew Jacobs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Jacobs enrolled in Medicare?

Yes. Andrew Jacobs 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.

What insurance does Andrew Jacobs accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Andrew Jacobs 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.

Is Andrew Jacobs affiliated with any hospitals?

According to CMS data, Andrew Jacobs is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Andrew Jacobs was last updated on September 9, 2019. 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.