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TOM JACOB DO
NPI 1629464623
Psychiatry & Neurology - Geriatric Psychiatry in Rochester, NY

Active since April 07, 2015PECOS Enrolled
76.84/100
CMS Quality Rating
315 SCIENCE PARKWAY, ROCHESTER, NY 14620(585) 602-1000 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tom Jacob Do NPPES

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

TOM JACOB DO (NPI 1629464623) is an individual geriatric psychiatry provider in Rochester, New York, licensed in New York (296407) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629464623
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameTOM JACOBCredential: DO
Location Address315 SCIENCE PARKWAYRochester, NY 14620
Mailing Address315 Science ParkwayRochester, NY 14620 · (585) 602-1000
Phone(585) 602-1000
Sole ProprietorNo
Enumeration DateApril 7, 2015
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1629464623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in NY · 296407
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Also ListedHospitalistTaxonomy 208M00000X · License 296407 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
315 SCIENCE PARKWAY, Rochester, NY 14620
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tom Jacob Do 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.

Areas of Expertise CMS Part B claims

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 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.
26 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

Other Providers at the Same Location NPPES

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

CATHERINE DONOVAN TREDWELL NP
Nurse Practitioner (Psychiatric/Mental Health)
315 SCIENCE PARKWAY
ROCHESTER, NY 14620
Monroe County (585) 276-6900

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 Tom Jacob's NPI number?

The NPI number for Tom Jacob is 1629464623. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Tom Jacob located?

Tom Jacob practices at 315 Science Parkway, Rochester, NY 14620. The listed phone number is (585) 602-1000.

What is Tom Jacob's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Tom Jacob enrolled in Medicare?

Yes. Tom Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tom Jacob was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.