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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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services24 patients
Mastectomy NAN04
A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
0 services12 patients

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.

When was this NPI record last updated?

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