DEASIA DOMINIQUE JACOB MD
NPI 1619339728
Surgery - Plastic and Reconstructive Surgery in Frederick, MD

Q: What is Deasia Jacob's NPI number?

The NPI number for Deasia Jacob is 1619339728. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Deasia Jacob's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Deasia Jacob was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 March 28, 2016PECOS EnrolledAccepts Medicare Assignment

80.25/100

CMS Quality Rating

501 W 7TH ST, FREDERICK, MD 21701(240) 215-6310(240) 439-8910 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2025, Jul 19, 2023, Jul 16, 2023 and 2 more (5 updates tracked since 2016).

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About Deasia Dominique Jacob Md NPPES

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

DEASIA DOMINIQUE JACOB MD (NPI 1619339728) is an individual plastic and reconstructive surgery provider in Frederick, Maryland, licensed in Maryland (D0093827) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 14 additional practice locations.

NPPES Registry Identity

NPI1619339728

Entity TypeIndividualFemale

Primary Taxonomy2086S0122X

Provider Legal NameDEASIA DOMINIQUE JACOBCredential: MD

Location Address501 W 7TH STFrederick, MD 21701-4586

Mailing Address400 W 7th StFrederick, MD 21701-4506

Phone(240) 215-6310

Fax(240) 439-8910

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2016

Enumeration DateMarch 28, 2016

Last NPPES UpdateJune 17, 20255 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1619339728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in MD · D0093827

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License D93654 (MD)

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License D93654 (MD)

501 W 7TH ST, Frederick, MD 21701

Open in Google Maps ↗

Secondary Practice Locations 14

Location 11 Frederick Health WayFrederick, MD 21701-9435 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 216403 Old Emmitsburg RdEmmitsburg, MD 21727-8929 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 3400 W 7th StFrederick, MD 21701-4506 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 415 E Frederick StWalkersville, MD 21793-8234 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 5230 W Patrick StFrederick, MD 21701-6945 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 63000D Ventrie CtMyersville, MD 21773-7817 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 73430 Worthington BlvdFrederick, MD 21704-7017 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 81562 Opossumtown PikeFrederick, MD 21702-4920 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 9504 E Ridgeville BlvdMount Airy, MD 21771-5942 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 1075 Thomas Johnson DrFrederick, MD 21702-4895 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 11194 Thomas Johnson DrFrederick, MD 21702-4679 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 121194 Dutchmans Creek DrBrunswick, MD 21716-9786 · Phone (240) 215-6310 · Fax (240) 439-8910

Location 13141 Thomas Johnson DrFrederick, MD 21702-4502 · Phone (301) 846-0100 · Fax (301) 846-0244

Location 147211 Bank CtFrederick, MD 21703-8483 · Phone (240) 215-6310 · Fax (240) 439-8910

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

Deasia Dominique Jacob Md 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 ID9931491941

PECOS Enrollment IDI20220425000073

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 Reassignments

Medicare enrollment records show Deasia Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Frederick Health Medical Group LLC

Same address

Community Health

501 W 7TH ST
Frederick, MD 21701

Reassigned Medicare billing, Maryland enrollment
245 clinicians in this Medicare group

NPI 1285156091 (301) 360-2575

Johns Hopkins University

31 mi

Body Imaging

10840 LITTLE PATUXENT PKWY
Columbia, MD 21044

Reassigned Medicare billing, Maryland enrollment
4,483 clinicians in this Medicare group

NPI 1285453795 (410) 933-0000

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

Areas of Expertise CMS Part B claims 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

94 services26 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.

63 services54 patients

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.

40 services34 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.

26 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services17 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

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.

80.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.29

Promoting Interoperability

100

Improvement Activities

Cost

54.89

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.

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