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DR. LISA MARIA JACOB M.D.
NPI 1700077237
Plastic Surgery in Wilkes Barre, PA

Active since August 08, 2007PECOS Enrolled
675 BALTIMORE DRIVE, WILKES BARRE, PA 18702(570) 808-6400(570) 808-6338 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Maria Jacob M.d. NPPES

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

DR. LISA MARIA JACOB M.D. (NPI 1700077237) is an individual plastic surgery provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD452576) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700077237
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. LISA MARIA JACOBCredential: M.D.
Location Address675 BALTIMORE DRIVEWilkes Barre, PA 18702-3306
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 808-6400
Fax(570) 808-6338
Sole ProprietorNo
Enumeration DateAugust 8, 2007
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1700077237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in PA · MD452576✔ Licensed in WV · 24109✔ Licensed in NJ · 25MA08245300
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
675 BALTIMORE DRIVE, Wilkes Barre, PA 18702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Maria Jacob M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignments

2

Medicare enrollment records show Lisa Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.5 mi
Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1316999782 (570) 826-7300
St. Luke's Physician Group, Inc
20 mi
Internal Medicine
2599 STATE ROUTE 903
Albrightsville, PA 18210
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1639554942 (570) 645-1945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

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

DR. KELLY JO DALTON O.D.
Optometrist
675 BALTIMORE DRIVE
WILKES BARRE, PA 18702
Luzerne County (570) 808-5441

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 Lisa Jacob's NPI number?

The NPI number for Lisa Jacob is 1700077237. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Lisa Jacob located?

Lisa Jacob practices at 675 Baltimore Drive, Wilkes Barre, PA 18702. The listed phone number is (570) 808-6400.

What is Lisa Jacob's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Lisa Jacob enrolled in Medicare?

Yes. Lisa Jacob is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jacob reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Wilkes Barre, PA) and St. Luke's Physician Group, Inc (Albrightsville, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Jacob was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.