RICHARD ALBERT JACOB PA-C
NPI 1720530934
Physician Assistant - Surgical in West Columbia, SC

Q: What is Richard Jacob's NPI number?

The NPI number for Richard Jacob is 1720530934. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Q: What is Richard Jacob's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Richard Jacob was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 04, 2016PECOS EnrolledAccepts Medicare Assignment

83.03/100

CMS Quality Rating

2728 SUNSET BLVD STE 400, WEST COLUMBIA, SC 29169(803) 936-7095(803) 936-7908 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2020, Feb 17, 2020, Jan 10, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Richard Albert Jacob Pa-c NPPES

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

RICHARD ALBERT JACOB PA-C (NPI 1720530934) is an individual surgical provider in West Columbia, South Carolina, licensed in South Carolina (2671) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Musc Health Columbia Medical Center Downtown, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720530934

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameRICHARD ALBERT JACOBCredential: PA-C

Location Address2728 SUNSET BLVD STE 400West Columbia, SC 29169-4839

Mailing AddressPo Box 6069West Columbia, SC 29171-6069

Phone(803) 936-7095

Fax(803) 936-7908

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 4, 2016

Last NPPES UpdateNovember 6, 20204 updates tracked since enumeration

NPPES CertifiedNovember 6, 2020

✔ NPI 1720530934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in SC · 2671

2728 SUNSET BLVD STE 400, West Columbia, SC 29169

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.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

Richard Albert Jacob 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 ID6800178013

PECOS Enrollment IDI20170124001670

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

379 services72 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.

144 services115 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

104 services74 patients

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.

103 services88 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

89 services70 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

75 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420026

Location2435 Forest DriveColumbia, SC 29204 · Richland County

Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420048

Location1315 Roberts StreetCamden, SC 29020 · Kershaw 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

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.

83.03/100

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

Scored as part of a group practice

Quality

80.45

Promoting Interoperability

Improvement Activities

Cost

72.17

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

1 supplier14 claims150 services$21.79 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

1 supplier13 claims115 services$7.55 avg. paid by Medicare

Negative pressure wound therapy electrical pump, stationary or portable E2402

DME-Other DME · category DE000N

1 supplier16 claims16 services$545.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

IAN MICHAEL BRASTAUSKAS

Surgery (Vascular Surgery)