JACOB DAKOTA MCKILLOP PA
NPI 1609464627
Physician Assistant in Hampton, VA

Active since January 05, 2021PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
4000 COLISEUM DR STE 445, HAMPTON, VA 23666(757) 827-2127(757) 827-2255 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2023, Mar 9, 2021, Jan 5, 2021 (3 updates tracked since 2021).

About Jacob Dakota Mckillop Pa NPPES

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

JACOB DAKOTA MCKILLOP PA (NPI 1609464627) is an individual physician assistant in Hampton, Virginia, licensed in Virginia (0110007560) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Sentara Careplex Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609464627
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB DAKOTA MCKILLOPCredential: PA
Location Address4000 COLISEUM DR STE 445Hampton, VA 23666-5981
Mailing Address4000 Coliseum Dr Ste 445Hampton, VA 23666-5981 · (757) 827-2127 · Fax (757) 827-2255
Fax(757) 827-2255
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 5, 2021
Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1609464627 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 VA · 0110007560
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.

4000 COLISEUM DR STE 445, Hampton, VA 23666

Other Names 1

Other Name (5)Jacob D Mckillop Pa

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 Dakota Mckillop Pa 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 ID749696557
PECOS Enrollment IDI20231023003606
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23666 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Improvement Activities40
Cost85.96

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.

Family Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Nurse Practitioner (Family)
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Family Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Nurse Practitioner (Acute Care)
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666
Family Medicine
4000 COLISEUM DR STE 445
HAMPTON, VA 23666

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 Mckillop's NPI number?

The NPI number for Jacob Mckillop is 1609464627. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Jacob Mckillop located?

Jacob Mckillop practices at 4000 Coliseum Dr Ste 445, Hampton, VA 23666. The listed phone number is (757) 827-2127.

What is Jacob Mckillop's specialty?

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

Is Jacob Mckillop enrolled in Medicare?

Yes. Jacob Mckillop 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 Mckillop affiliated with any hospitals?

According to CMS data, Jacob Mckillop is affiliated with Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Mckillop was last updated on November 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.