DR. JACOB E PALMA DDS
NPI 1700816519
Dentist - General Practice in Lackland A F B, TX

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since July 04, 2006PECOS Enrolled

2200 BERGQUIST DR STE 1, ATT: CREDENTIALS ( CMC), LACKLAND A F B, TX 78236(210) 536-1846(210) 536-3049 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Jacob E Palma Dds NPPES

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

DR. JACOB E PALMA DDS (NPI 1700816519) is an individual general practice provider in Lackland A F B, Texas, licensed in New York (043078) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700816519

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACOB E PALMACredential: DDS

Location Address2200 BERGQUIST DR STE 1, ATT: CREDENTIALS ( CMC)Lackland A F B, TX 78236-9908

Mailing Address7011 Holly Mountain StSan Antonio, TX 78250-3532 · (210) 536-1846 · Fax (210) 536-3049

Phone(210) 536-1846

Fax(210) 536-3049

Sole ProprietorYes

Enumeration DateJuly 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700816519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 043078

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2200 BERGQUIST DR STE 1, Lackland A F B, TX 78236

Open in Google Maps ↗

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. Jacob E Palma Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.