Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JILL A. JACOBSON M.D.
NPI 1629017272
Psychiatry & Neurology - Psychiatry in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

Active since June 06, 2006Opted out of Medicare · through Jul 1, 2027

525 E 68TH ST, BOX140, NEW YORK, NY 10021(212) 746-3763(212) 746-8520 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jill A. Jacobson M.d. NPPES

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

DR. JILL A. JACOBSON M.D. (NPI 1629017272) is an individual psychiatry provider in New York, New York, licensed in New York (212197) and active in the NPI registry since June 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629017272

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JILL A. JACOBSONCredential: M.D.

Location Address525 E 68TH ST, BOX140New York, NY 10021-4870

Mailing Address525 E 68th St, Box140New York, NY 10021-4870 · (212) 746-3763 · Fax (212) 746-8520

Phone(212) 746-3763

Fax(212) 746-8520

Sole ProprietorNo

Enumeration DateJune 6, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1629017272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 212197

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

525 E 68TH ST, New York, NY 10021

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jill A. Jacobson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.