Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB LANG PA-C
NPI 1710515952
Physician Assistant in Leesburg, FL

Q: What is Jacob Lang's NPI number?

The NPI number for Jacob Lang is 1710515952. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Jacob Lang's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Lang was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

600 E DIXIE AVE, LEESBURG, FL 34748(352) 559-5051 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Mar 18, 2026, Nov 12, 2025 and 2 more (5 updates tracked since 2020).

On this page

About Jacob Lang Pa-c NPPES

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

JACOB LANG PA-C (NPI 1710515952) is an individual physician assistant in Leesburg, Florida, licensed in Florida (PA9121984) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1710515952

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB LANGCredential: PA-C

Location Address600 E DIXIE AVELeesburg, FL 34748-5925

Mailing Address257 Mcdowell StAsheville, NC 28803-2606 · (828) 258-1121 · Fax (828) 252-6114

Phone(352) 559-5051

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 1, 2020

Last NPPES UpdateOctober 14, 20265 updates tracked since enumeration

NPPES CertifiedOctober 14, 2026

✔ NPI 1710515952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9121984

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4561 (SC)

600 E DIXIE AVE, Leesburg, FL 34748

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Secondary Practice Locations 4

Location 11506 Spring StGreenwood, SC 29646-4071 · Phone (864) 725-7900 · Fax (864) 725-7910

Location 2257 McDowell StAsheville, NC 28803-2606 · Phone (828) 258-1121 · Fax (828) 252-6114

Location 33437 Caroline StSaint Louis, MO 63104-1111 · Phone (309) 303-8048

Location 42728 Sunset Blvd Ste 105West Columbia, SC 29169-4839 · Phone (803) 936-7095 · Fax (803) 936-7908

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Jacob Lang Pa-c 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 ID42628539

PECOS Enrollment IDI20221101001797

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

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.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420071

Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County

Emergency services Birthing friendly

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420073

Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

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.

NANCY REEVS PA-C

Physician Assistant