DR. JACOB DEAN THOMPSON D.P.M.
NPI 1619270923
Podiatrist - Foot & Ankle Surgery in Tacoma, WA

Active since December 08, 2010PECOS EnrolledAccepts Medicare Assignment
9040-A FITZSIMMONS DR, TACOMA, WA 98431(253) 968-1577 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jacob Dean Thompson D.p.m. NPPES

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

DR. JACOB DEAN THOMPSON D.P.M. (NPI 1619270923) is an individual foot & ankle surgery provider in Tacoma, Washington, licensed in Indiana (41000238A) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619270923
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JACOB DEAN THOMPSONCredential: D.P.M.
Location Address9040-A FITZSIMMONS DRTacoma, WA 98431-1100
Mailing Address1437 Rooklidge StDupont, WA 98327-9745 · (253) 964-1352
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 8, 2010
Last NPPES UpdateDecember 15, 2021
✔ NPI 1619270923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IN · 41000238A
9040-A FITZSIMMONS DR, Tacoma, WA 98431

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Dean Thompson D.p.m. 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 ID5092971044
PECOS Enrollment IDI20131121001798
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
9040-A FITZSIMMONS DR
TACOMA, WA 98431

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 Thompson's NPI number?

The NPI number for Jacob Thompson is 1619270923. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Jacob Thompson located?

Jacob Thompson practices at 9040-A Fitzsimmons Dr, Tacoma, WA 98431. The listed phone number is (253) 968-1577.

What is Jacob Thompson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jacob Thompson enrolled in Medicare?

Yes. Jacob Thompson 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.

Which organization bills Medicare for Jacob Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Thompson reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Thompson was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.