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WILLIAM M JACOBSEN MD
NPI 1639176894
Plastic Surgery in Phoenix, AZ

Active since July 02, 2005PECOS EnrolledAccepts Medicare Assignment
2400 E ARIZONA BILTMORE CIR, SUITE 2450, PHOENIX, AZ 85016(602) 212-0100(602) 279-1701 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About William M Jacobsen Md NPPES

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

WILLIAM M JACOBSEN MD (NPI 1639176894) is an individual plastic surgery provider in Phoenix, Arizona, licensed in Arizona (21620) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1986).

NPPES Registry Identity

NPI1639176894
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameWILLIAM M JACOBSENCredential: MD
Location Address2400 E ARIZONA BILTMORE CIR, SUITE 2450Phoenix, AZ 85016-2107
Mailing Address2400 E Arizona Biltmore Cir, Suite 2450Phoenix, AZ 85016-2107 · (602) 212-0100 · Fax (602) 279-1701
Phone(602) 212-0100
Fax(602) 279-1701
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1986
Enumeration DateJuly 2, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1639176894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in AZ · 21620
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2400 E ARIZONA BILTMORE CIR, Phoenix, AZ 85016
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Other Identifiers 1

Medicaid167850AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

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

William M Jacobsen 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 ID2466404231
PECOS Enrollment IDI20050221000364
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 William Jacobsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

William M. Jacobsen MD PC
1.2 mi
Plastic Surgery
2400 E AZ BILTMORE CIR, STE 2450
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
NPI 1215123336 (602) 212-0100

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 10

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
32 services25 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.
25 services23 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040
This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.
20 services15 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
17 services17 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 6

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

MR. JEFFREY KENNETH SCHULTZ L.P.C.
Counselor (Mental Health)
2400 E ARIZONA BILTMORE CIR, BUILDING 4, SUITE 2430
PHOENIX, AZ 85016
Maricopa County (480) 287-2393
MS. BEVERLY SUE MAHAFFEY L.P.C.
Counselor (Professional)
2400 E ARIZONA BILTMORE CIR, BLDG. 4 SUITE 2430
PHOENIX, AZ 85016
Maricopa County (602) 573-3459
SUSAN SUGAR LCSW
Social Worker (Clinical)
2400 E ARIZONA BILTMORE CIR, SUITE 2430
PHOENIX, AZ 85016
Maricopa County (602) 995-3637
DENISE E EHRLER RNFA
Nurse Practitioner
2400 E ARIZONA BILTMORE CIR, SUITE 2450
PHOENIX, AZ 85016
Maricopa County (602) 212-0100
MS. DIANNE MARIE PELA MAPC, LPC
Counselor (Addiction (Substance Use Disorder))
2400 E ARIZONA BILTMORE CIR, BLDG. 4, STE. 2430
PHOENIX, AZ 85016
Maricopa County (480) 266-9546
MS. KAROLE HOLTKAMP M.A. L.P.C.
Counselor (Professional)
2400 E ARIZONA BILTMORE CIR, BDLG 4, SUITE 2430
PHOENIX, AZ 85016
Maricopa County (602) 818-0711

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 William Jacobsen's NPI number?

The NPI number for William Jacobsen is 1639176894. It was assigned to this individual provider in the NPPES registry on July 2, 2005.

Where is William Jacobsen located?

William Jacobsen practices at 2400 E Arizona Biltmore Cir Suite 2450, Phoenix, AZ 85016. The listed phone number is (602) 212-0100.

What is William Jacobsen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is William Jacobsen enrolled in Medicare?

Yes. William Jacobsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for William Jacobsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Jacobsen reassigns Medicare benefits to William M. Jacobsen MD PC (Phoenix, AZ). 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 William Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Jacobsen accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list William Jacobsen 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 William Jacobsen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.