WILLIAM T. JACOBY M.D.
NPI 1700875515
Radiology - Diagnostic Radiology in Mesa, AZ

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
6424 E BROADWAY RD STE 101, MESA, AZ 85206(480) 456-9000 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 31, 2019, Oct 26, 2016 (2 updates tracked since 2016).

About William T. Jacoby M.d. NPPES

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

WILLIAM T. JACOBY M.D. (NPI 1700875515) is an individual diagnostic radiology provider in Mesa, Arizona, licensed in Arizona (22425) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Ohio State University College Of Medicine (1987).

NPPES Registry Identity

NPI1700875515
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameWILLIAM T. JACOBYCredential: M.D.
Location Address6424 E BROADWAY RD STE 101Mesa, AZ 85206-1750
Mailing Address1201 S Alma School Rd, Suite 14000Mesa, AZ 85210-2008 · (480) 545-8119 · Fax (480) 926-8332
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1987
Enumeration DateOctober 14, 2005
Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration
NPI 1700875515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in AZ · 22425
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6424 E BROADWAY RD STE 101, Mesa, AZ 85206

Secondary Practice Location 1

Location 11201 S Alma School Rd, Suite 14000Mesa, AZ 85210-2008 · Phone (480) 545-8119 · Fax (480) 926-8332

Other Identifiers 2

Medicaid165177AZ
OtherZ123768Medicare Id For Evac, Llc

Accepted Insurance

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

William T. Jacoby 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 ID5193629343
PECOS Enrollment IDI20031120000561
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 53

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,181 services36 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
1,440 services20 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,086 services967 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
279 services272 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
156 services155 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
141 services133 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700875515, enumerated as an "individual" on October 14, 2005.

The provider is located at 6424 E BROADWAY RD STE 101 MESA, AZ 85206 and the phone number is (480) 456-9000.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Oscar Health. Please consult your insurance carrier or call the provider to verify.