DR. JACK JACOB D.O.
NPI 1649659590
Pathology - Anatomic Pathology & Clinical Pathology in Bridgeport, CT

Q: What is Jack Jacob's NPI number?

The NPI number for Jack Jacob is 1649659590. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Q: What is Jack Jacob's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Jack Jacob was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment

85.07/100

CMS Quality Rating

2800 MAIN ST, BRIDGEPORT, CT 06606(862) 812-7831 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Jack Jacob D.o. NPPES

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

DR. JACK JACOB D.O. (NPI 1649659590) is an individual anatomic pathology & clinical pathology provider in Bridgeport, Connecticut, licensed in Connecticut (68885) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2015).

NPPES Registry Identity

NPI1649659590

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. JACK JACOBCredential: D.O.

Location Address2800 MAIN STBridgeport, CT 06606-4201

Mailing Address2800 Main StBridgeport, CT 06606-4201 · (862) 812-7831

Phone(862) 812-7831

Sole ProprietorYes

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2015

Enumeration DateMay 26, 2015

Last NPPES UpdateSeptember 22, 2021

NPPES CertifiedSeptember 22, 2021

✔ NPI 1649659590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in CT · 68885

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2800 MAIN ST, Bridgeport, CT 06606

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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 and accepts Medicare assignment

Dr. Jack Jacob D.o. 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 ID6608115530

PECOS Enrollment IDI20210810003991

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 25

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

619 services260 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

561 services299 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

364 services102 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

238 services92 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

232 services106 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

173 services134 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

144 services91 patients

Immunologic analysis technique on serum 86320

An immunologic analysis technique on serum is a lab test that checks your blood for certain substances. These substances, mostly proteins, can tell doctors a lot about your health, including whether you have certain diseases or conditions.

132 services84 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

100 services40 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

88 services58 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

72 services63 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

70 services40 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

66 services22 patients

Special stained specimen slides to examine tissue, initial procedure 88342

55 services44 patients

Microscopic genetic analysis of tumor, manual 88360

52 services17 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

51 services39 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

41 services38 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

31 services24 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

29 services20 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

26 services23 patients

Evaluation of fine needle aspirate with interpretation and report 88173

25 services20 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

18 services16 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

13 services13 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

13 services13 patients

Surgical pathology consultation and report on referred slides prepared elsewhere 88321

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

85.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.7

Promoting Interoperability

Improvement Activities

Cost

68.33

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.

JENNIFER GODWIN OKON M.D

Student in an Organized Health Care Education/Training Program

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

CAITLIN VAN ESS CRNA

Nurse Anesthetist, Certified Registered

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (860) 576-5000

DR. FRANK RAYMOND SCIFO M.D.

Family Medicine

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-5986

KATHRYN LOHOTSKY JAFFER CRNA

Nurse Anesthetist, Certified Registered

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

CLEOFAS ESPINOZA CRNA

Nurse Anesthetist, Certified Registered

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

PETER JAKUBOWSKI

Nurse Anesthetist, Certified Registered

2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 929-7353

DANIEL PAOLETTI PA-C

Physician Assistant (Medical)

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

DR. MATTHEW ALAZAR MICHAEL MD

Student in an Organized Health Care Education/Training Program

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (475) 210-5791

TAYLOR ABELLI MD

Student in an Organized Health Care Education/Training Program

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (475) 210-5425

LAUREN AMY ROSATI

Registered Nurse

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

HEATHER MCCARTHY CRNA

Nurse Anesthetist, Certified Registered

2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 929-7353

DEBORAH X FANG MD

Radiology (Radiation Oncology)

2800 MAIN ST, RADIATION ONCOLOGY DEPT.
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-5085

MARISSA RUBIN M.D.

Anesthesiology

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

MARGARET PARISI PA-S

Physician Assistant

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

TAHA MUNEER AHMED MD

Student in an Organized Health Care Education/Training Program

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (475) 210-5425

MS. RAZEL EMUSLAN BOLAMBAO RN

Registered Nurse

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

SARA L LANDINO MAHON CRNA

Nurse Anesthetist, Certified Registered

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (203) 576-6000

LU ZHANG MD

Student in an Organized Health Care Education/Training Program

2800 MAIN ST, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (475) 210-5425

DOMENICO SCHIRRIPA MD

Student in an Organized Health Care Education/Training Program

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (475) 210-5425

MRS. JURATE IVANAVICIENE M.D

Internal Medicine (Infectious Disease)

2800 MAIN ST
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (475) 210-4499

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 Jack Jacob's NPI number?

The NPI number for Jack Jacob is 1649659590. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Jack Jacob located?

Jack Jacob practices at 2800 Main St, Bridgeport, CT 06606. The listed phone number is (862) 812-7831.

What is Jack Jacob's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jack Jacob enrolled in Medicare?

Yes. Jack Jacob 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.

When was this NPI record last updated?

The NPPES record for Jack Jacob was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.