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DR. RODNEY LEIGH JACOB O.D.
NPI 1730294893
Optometrist in Tsaile, AZ

Active since August 20, 2006PECOS Enrolled
20.72/100
CMS Quality Rating
INDIAN ROUTE 64 AND 12, TSAILE HEALTH CLINIC, TSAILE, AZ 85665(928) 724-3707(928) 724-3781 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rodney Leigh Jacob O.d. NPPES

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

DR. RODNEY LEIGH JACOB O.D. (NPI 1730294893) is an individual optometrist in Tsaile, Arizona, licensed in Oklahoma (2548) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730294893
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RODNEY LEIGH JACOBCredential: O.D.
Location AddressINDIAN ROUTE 64 AND 12, TSAILE HEALTH CLINICTsaile, AZ 85665-0021
Mailing AddressPo Box 451Tsaile, AZ 86556-0451 · (928) 724-3162 · Fax (928) 724-3781
Phone(928) 724-3707
Fax(928) 724-3781
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateFebruary 7, 2014
✔ NPI 1730294893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OK · 2548✔ Licensed in MS · 816
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
INDIAN ROUTE 64 AND 12, Tsaile, AZ 85665
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Other Identifiers 2

Medicare ID-Type Unspecified91064MO
Medicare UPINU76140MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rodney Leigh Jacob O.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rodney Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
4.6 mi
General Acute Care Hospital
NAVAJO ROUTE 64
Tsaile, AZ 86556
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1538185715 (928) 724-3600
Dhhs Ihs Phoenix Area
76 mi
Critical Access
HIGHWAY 264 MILEPOST 388
Polacca, AZ 86042
  • Reassigned Medicare billing, Texas enrollment
  • 199 clinicians in this Medicare group
NPI 1356628028 (928) 737-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

20.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality11.42
Promoting Interoperability0
Improvement Activities0
Cost41

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 Rodney Jacob's NPI number?

The NPI number for Rodney Jacob is 1730294893. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Rodney Jacob located?

Rodney Jacob practices at Indian Route 64 And 12 Tsaile Health Clinic, Tsaile, AZ 85665. The listed phone number is (928) 724-3707.

What is Rodney Jacob's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Rodney Jacob enrolled in Medicare?

Yes. Rodney Jacob is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rodney Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Jacob reassigns Medicare benefits to 2 organizations: Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ) and Dhhs Ihs Phoenix Area (Polacca, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rodney Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rodney Jacob was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.