Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDER J JACOBY PA-C
NPI 1558813394
Physician Assistant in Columbus, OH

Q: What is Alexander Jacoby's NPI number?

The NPI number for Alexander Jacoby is 1558813394. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Q: What is Alexander Jacoby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Jacoby was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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 October 27, 2016PECOS Enrolled

520 W 10TH AVE, COLUMBUS, OH 43210(614) 293-2101(614) 293-9155 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Oct 27, 2016 (2 updates tracked since 2016).

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About Alexander J Jacoby Pa-c NPPES

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

ALEXANDER J JACOBY PA-C (NPI 1558813394) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.010323RX) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1558813394

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameALEXANDER J JACOBYCredential: PA-C

Location Address520 W 10TH AVEColumbus, OH 43210-1328

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-2101 · Fax (614) 293-9155

Phone(614) 293-2101

Fax(614) 293-9155

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 27, 2016

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1558813394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.010323RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

520 W 10TH AVE, Columbus, OH 43210

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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

Alexander J Jacoby Pa-c 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 ID8628566619

PECOS Enrollment IDI20251022000815

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.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

SARON CHECKOLE DO

Emergency Medicine