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JEFFREY RANDALL JACOBSON M.D.
NPI 1609937432
Internal Medicine - Pulmonary Disease in Chicago, IL

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
909 SOUTH WOLCOTT AVENUE, 3141 COMRB, CHICAGO, IL 60612(312) 996-8039(312) 996-4665 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Randall Jacobson M.d. NPPES

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

JEFFREY RANDALL JACOBSON M.D. (NPI 1609937432) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (036.114116) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of New York University School Of Medicine (1996).

NPPES Registry Identity

NPI1609937432
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJEFFREY RANDALL JACOBSONCredential: M.D.
Location Address909 SOUTH WOLCOTT AVENUE, 3141 COMRBChicago, IL 60612-3725
Mailing Address909 South Wolcott Avenue, 3141 ComrbChicago, IL 60612-3725 · (312) 996-8039 · Fax (312) 996-4665
Phone(312) 996-8039
Fax(312) 996-4665
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1996
Enumeration DateDecember 13, 2006
Last NPPES UpdateMarch 4, 2010
✔ NPI 1609937432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in IL · 036.114116✔ Licensed in IL · 036114116
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036.114116 (IL)
909 SOUTH WOLCOTT AVENUE, Chicago, IL 60612
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Other Identifiers 3

Medicaid036114116IL
Medicare UPINI15403IL
Medicare ID-Type UnspecifiedK19990

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

Jeffrey Randall Jacobson M.d. 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 ID4587631809
PECOS Enrollment IDI20050829000132
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.

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.
32 services23 patients
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.
31 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$55.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jeffrey Jacobson's NPI number?

The NPI number for Jeffrey Jacobson is 1609937432. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jeffrey Jacobson located?

Jeffrey Jacobson practices at 909 South Wolcott Avenue 3141 Comrb, Chicago, IL 60612. The listed phone number is (312) 996-8039.

What is Jeffrey Jacobson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jeffrey Jacobson enrolled in Medicare?

Yes. Jeffrey Jacobson 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 Jeffrey Jacobson affiliated with any hospitals?

According to CMS data, Jeffrey Jacobson is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Jeffrey Jacobson was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.