DR. JACOB JERDON D.O.
NPI 1730526773
Emergency Medicine in Tacoma, WA

Q: What is Jacob Jerdon's NPI number?

The NPI number for Jacob Jerdon is 1730526773. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Q: What is Jacob Jerdon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Jerdon was last updated on July 12, 2021. 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 May 31, 2013PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3885 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2021, Jun 8, 2021, Jul 14, 2016 (3 updates tracked since 2016).

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About Dr. Jacob Jerdon D.o. NPPES

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

DR. JACOB JERDON D.O. (NPI 1730526773) is an individual emergency medicine provider in Tacoma, Washington, licensed in Washington (OP60653374) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1730526773

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JACOB JERDONCredential: D.O.

Location Address9040 JACKSON AVETacoma, WA 98431-2603

Mailing Address1710 S Progress RdSpokane Valley, WA 99037-9313 · (760) 646-1443

Phone(253) 968-3885

Sole ProprietorNo

Enumeration DateMay 31, 2013

Last NPPES UpdateJuly 12, 20213 updates tracked since enumeration

NPPES CertifiedJuly 12, 2021

✔ NPI 1730526773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · OP60653374

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9040 JACKSON AVE, Tacoma, WA 98431

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Secondary Practice Location 1

Location 1800 W 5th AveSpokane, WA 99204-2803 · Phone (509) 473-7107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Jerdon D.o. 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 Reassignment

Medicare enrollment records show Jacob Jerdon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spokane Emergency Care Physicians PLLC

224 mi

Emergency Medicine

800 W 5TH AVE
Spokane, WA 99204

Reassigned Medicare billing, Washington enrollment
86 clinicians in this Medicare group

NPI 1912564055 (253) 403-8327

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered