CHAD THOMAS JACOBSEN MD
NPI 1649292095
Pediatrics - Pediatric Hematology-Oncology in Charlotte, NC

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1422 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 49 more (52 updates tracked since 2017).

About Chad Thomas Jacobsen Md NPPES

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

CHAD THOMAS JACOBSEN MD (NPI 1649292095) is an individual pediatric hematology-oncology provider in Charlotte, North Carolina, licensed in North Carolina (2008-02008) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1997).

NPPES Registry Identity

NPI1649292095
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameCHAD THOMAS JACOBSENCredential: MD
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1997
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 15, 202452 updates tracked since enumeration
NPI 1649292095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in NC · 2008-02008
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 2008-02008 (NC)
1350 S KINGS DR, Charlotte, NC 28207

Secondary Practice Locations 2

Location 11001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840
Location 21001 Blythe BlvdCharlotte, NC 28203-5866 · Phone (704) 381-9900

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chad Thomas 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 ID1850333451
PECOS Enrollment IDI20090112000525
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 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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207

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 Chad Jacobsen's NPI number?

The NPI number for Chad Jacobsen is 1649292095. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Chad Jacobsen located?

Chad Jacobsen practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1422.

What is Chad Jacobsen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Chad Jacobsen enrolled in Medicare?

Yes. Chad 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.

What insurance does Chad Jacobsen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Chad 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 Chad Jacobsen was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.