DR. JACOB TYLER BOBMAN MD
NPI 1689059420
Orthopaedic Surgery in Bellevue, WA

Q: What is Jacob Bobman's NPI number?

The NPI number for Jacob Bobman is 1689059420. It was assigned to this individual provider in the NPPES registry on July 22, 2015. The provider is also known as Jake Tyler Bobman.

Q: What is Jacob Bobman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Bobman was last updated on June 3, 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 July 22, 2015PECOS EnrolledAccepts Medicare Assignment

11511 NE 10TH ST, BELLEVUE, WA 98004(425) 502-3000(844) 620-1839 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2024, Sep 9, 2021, Sep 7, 2020 and 2 more (5 updates tracked since 2017).

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About Dr. Jacob Tyler Bobman Md NPPES

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

DR. JACOB TYLER BOBMAN MD (NPI 1689059420) is an individual orthopaedic surgery provider in Bellevue, Washington, licensed in Washington (MD61506987) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Covina, and is a graduate of Columbia University College Of Physicians And Surgeons (2015).

NPPES Registry Identity

NPI1689059420

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JACOB TYLER BOBMANCredential: MD

Location Address11511 NE 10TH STBellevue, WA 98004-8578

Mailing Address11511 Ne 10th StBellevue, WA 98004-8578 · (425) 502-3000 · Fax (844) 620-1839

Phone(425) 502-3000

Fax(844) 620-1839

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2015

Enumeration DateJuly 22, 2015

Last NPPES UpdateJune 3, 20245 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1689059420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WA · MD61506987✔ Licensed in CA · A149236

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

11511 NE 10TH ST, Bellevue, WA 98004

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Other Names 1

Other Name (5)Jake Tyler Bobman

Secondary Practice Location 1

Location 1420 W Rowland StCovina, CA 91723-2943 · Phone (626) 331-6411

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. Jacob Tyler Bobman 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 ID3678828647

PECOS Enrollment IDI20240620000842

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

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.

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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 20

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

PATSY C LAZAROUS MD

Internal Medicine