DR. ADDISON F JACOBS MD
NPI 1679109482
Radiology - Diagnostic Radiology in Scott Air Force Base, IL
About Dr. Addison F Jacobs Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADDISON F JACOBS MD (NPI 1679109482) is an individual diagnostic radiology provider in Scott Air Force Base, Illinois, licensed in Nebraska (33917) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Georgetown University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
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. Addison F Jacobs 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SCOTT AFB, IL 62225
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 Addison Jacobs's NPI number?
The NPI number for Addison Jacobs is 1679109482. It was assigned to this individual provider in the NPPES registry on March 13, 2020.
Where is Addison Jacobs located?
Addison Jacobs practices at 310 W Losey St, Scott Air Force Base, IL 62225. The listed phone number is (618) 256-9355.
What is Addison Jacobs's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Addison Jacobs enrolled in Medicare?
Yes. Addison Jacobs 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 Addison Jacobs was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Addison F Jacobs, MD · NPI 1679109482
Diagnostic Radiology physician in Scott Air Force Base, Illinois. Individual provider, active in the CMS NPPES registry since March 13, 2020.
## Identity
- **NPI:** 1679109482 (Entity type: Individual)
- **Enumerated:** March 13, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 33917 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 W LOSEY ST, Scott Air Force Base, IL 62225-5250
- **Phone:** (618) 256-9355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Georgetown University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** March 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679109482) · Data from the CMS NPPES public registry.