TOM JACOB DO
NPI 1629464623
Psychiatry & Neurology - Geriatric Psychiatry in Rochester, NY
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tom Jacob Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tom Jacob reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14620
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Hampton, NJ 08827
- Reassigned Medicare billing, New Jersey enrollment
- 98 clinicians in this Medicare group
New York, NY 10001
- Reassigned Medicare billing, New York enrollment
- 590 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.
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.
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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14620
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.
Which organizations bill Medicare for Tom Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tom Jacob reassigns Medicare benefits to 3 organizations: University Of Rochester (Rochester, NY), Mccd New Jersey Psychiatry Services LLC (Hampton, NJ) and Mccd Psychiatry Services PLLC (New York, NY). Each 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 Tom Jacob'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 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.
# Tom Jacob, DO · NPI 1629464623
Geriatric Psychiatry physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since April 7, 2015.
## Identity
- **NPI:** 1629464623 (Entity type: Individual)
- **Enumerated:** April 7, 2015
- **Primary specialty:** Psychiatry & Neurology - Geriatric Psychiatry · taxonomy 2084P0805X
- **State license:** 296407 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 SCIENCE PARKWAY, Rochester, NY 14620
- **Phone:** (585) 602-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Rochester (NPI 1982787537, Rochester, NY); Mccd New Jersey Psychiatry Services LLC (NPI 1023729530, Hampton, NJ); Mccd Psychiatry Services PLLC (NPI 1033750823, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1629464623) · Data from the CMS NPPES public registry.