LESLIE JACOB MD
NPI 1679647697
Internal Medicine - Gastroenterology in Sebring, FL

Q: What is Leslie Jacob's NPI number?

The NPI number for Leslie Jacob is 1679647697. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Leslie Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Jacob was last updated on April 16, 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.

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment

85.38/100

CMS Quality Rating

4200 SUN N LAKE BLVD, SEBRING, FL 33872(863) 402-3103(863) 402-5339 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Oct 13, 2023, Aug 23, 2023 (3 updates tracked since 2023).

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About Leslie Jacob Md NPPES

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

LESLIE JACOB MD (NPI 1679647697) is an individual gastroenterology provider in Sebring, Florida, licensed in Florida (ME66002) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1679647697

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameLESLIE JACOBCredential: MD

Location Address4200 SUN N LAKE BLVDSebring, FL 33872-1986

Mailing Address3610 Yacht Club Dr Apt 1202, Suite # 205Aventura, FL 33180-3546 · (561) 756-5606

Phone(863) 402-3103

Fax(863) 402-5339

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateNovember 20, 2006

Last NPPES UpdateApril 16, 20243 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1679647697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in FL · ME66002✔ Licensed in VA · 0101280924

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4200 SUN N LAKE BLVD, Sebring, FL 33872

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Secondary Practice Locations 3

Location 1701 W Cocoa Beach CswyCocoa Beach, FL 32931-5595 · Phone (321) 868-5871 · Fax (321) 868-5852

Location 2824 N Military Hwy Ste 100Norfolk, VA 23502-3652 · Phone (888) 236-2263 · Fax (750) 390-4551

Location 33610 Yacht Club Dr Apt 1202Aventura, FL 33180-3546 · Phone (561) 756-5606

Other Identifiers 4

Medicaid119868200FL

OtherRM822FL · Hfmg Ma

Other100011557FL · Railroad Medicare

Other28906FL · Blue Cross Blue Shield Of Fla

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Leslie Jacob 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 ID840190047

PECOS Enrollment IDI20040113000306

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services68 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

80 services79 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100062

Location1500 SW 1st AveOcala, FL 34474 · Marion County

Emergency services Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

85.38/100

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

Scored through an Alternative Payment Model

Quality

81.65

Promoting Interoperability

Improvement Activities

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.

RAJKARAN BANGA MD

Student in an Organized Health Care Education/Training Program