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JACOB EDWIN KUPERSTOCK M.D.
NPI 1700145182
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Fairfax, VA

Active since May 06, 2012PECOS EnrolledAccepts Medicare Assignment
3801 UNIVERSITY DR STE 300, FAIRFAX, VA 22030(703) 383-8130(703) 383-7355 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2019, Mar 21, 2018 (2 updates tracked since 2018).

About Jacob Edwin Kuperstock M.d. NPPES

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

JACOB EDWIN KUPERSTOCK M.D. (NPI 1700145182) is an individual otolaryngology/facial plastic surgery provider in Fairfax, Virginia, licensed in Virginia (0101266254) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Stanford University School Of Medicine (2013).

NPPES Registry Identity

NPI1700145182
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameJACOB EDWIN KUPERSTOCKCredential: M.D.
Location Address3801 UNIVERSITY DR STE 300Fairfax, VA 22030
Mailing Address3801 University Dr Ste 300Fairfax, VA 22030-2503 · (703) 383-8130 · Fax (703) 383-7355
Phone(703) 383-8130
Fax(703) 383-7355
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2013
Enumeration DateMay 6, 2012
Last NPPES UpdateJuly 24, 20192 updates tracked since enumeration
✔ NPI 1700145182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in VA · 0101266254
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 255486 (MA)
3801 UNIVERSITY DR STE 300, Fairfax, VA 22030
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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 and accepts Medicare assignment

Jacob Edwin Kuperstock M.d. 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 ID3577795251
PECOS Enrollment IDI20190923001554
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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services165 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
96 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
93 services93 patients
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.
87 services78 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
53 services47 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
46 services39 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

JENNIFER MCNAMARA POSTON PHD
Audiologist
3801 UNIVERSITY DR STE 300
FAIRFAX, VA 22030
Fairfax City (703) 383-8130
KATHERINE BAYLOR BARTHOLOMAY FNP-BC
Nurse Practitioner (Family)
3801 UNIVERSITY DR STE 300
FAIRFAX, VA 22030
Fairfax City (703) 383-8130
KAELAN DENDY YOUNG BLACK M.D.
Otolaryngology (Pediatric Otolaryngology)
3801 UNIVERSITY DR STE 300
FAIRFAX, VA 22030
Fairfax City (703) 383-8130

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 Jacob Kuperstock's NPI number?

The NPI number for Jacob Kuperstock is 1700145182. It was assigned to this individual provider in the NPPES registry on May 6, 2012.

Where is Jacob Kuperstock located?

Jacob Kuperstock practices at 3801 University Dr Ste 300, Fairfax, VA 22030. The listed phone number is (703) 383-8130.

What is Jacob Kuperstock's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Jacob Kuperstock enrolled in Medicare?

Yes. Jacob Kuperstock 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.

Is Jacob Kuperstock affiliated with any hospitals?

According to CMS data, Jacob Kuperstock is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Kuperstock was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.