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DR. CRYSTAL ANN JACOVINO D.O.
NPI 1629211024
Internal Medicine - Endocrinology, Diabetes & Metabolism in Tampa, FL

Active since April 14, 2009PECOS Enrolled
4912 EBENSBURG DR, TAMPA, FL 33647(727) 992-7493(727) 378-9630 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Jun 9, 2025, May 1, 2024 and 2 more (5 updates tracked since 2021).

About Dr. Crystal Ann Jacovino D.o. NPPES

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

DR. CRYSTAL ANN JACOVINO D.O. (NPI 1629211024) is an individual endocrinology, diabetes & metabolism provider in Tampa, Florida, licensed in Florida (OS12959) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629211024
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. CRYSTAL ANN JACOVINOCredential: D.O.
Location Address4912 EBENSBURG DRTampa, FL 33647-1381
Mailing Address4912 Ebensburg DrTampa, FL 33647-1381 · (727) 992-7493
Phone(727) 992-7493
Fax(727) 378-9630
Sole ProprietorNo
Enumeration DateApril 14, 2009
Last NPPES UpdateNovember 13, 20255 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1629211024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · OS12959
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS12959 (FL)
4912 EBENSBURG DR, Tampa, FL 33647
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11980 Festival Plaza Dr Ste 400Las Vegas, NV 89135-2930 · Phone (909) 787-2342 · Fax (727) 378-9630
Location 2111 N Orange Ave Ste 800Orlando, FL 32801-2381 · Phone (888) 731-8994

Other Identifiers 2

Medicaid013684400FL
Other14XZ6FL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Crystal Ann Jacovino D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Crystal Jacovino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Medical Group, Inc.
21 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33647 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%53 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
42%141 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
18%72 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers26 claims26 services$155.81 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 Crystal Jacovino's NPI number?

The NPI number for Crystal Jacovino is 1629211024. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Crystal Jacovino located?

Crystal Jacovino practices at 4912 Ebensburg Dr, Tampa, FL 33647. The listed phone number is (727) 992-7493.

What is Crystal Jacovino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Crystal Jacovino enrolled in Medicare?

Yes. Crystal Jacovino is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crystal Jacovino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Jacovino reassigns Medicare benefits to Baycare Medical Group, Inc. (Clearwater, FL). 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 Crystal Jacovino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Jacovino accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Crystal Jacovino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Jacovino was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.