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CHARLES A JACOBSON M.D.
NPI 1760492656
Orthopaedic Surgery in Moscow, ID

Active since August 09, 2006
2500 W A ST, SUITE 201, MOSCOW, ID 83843(208) 883-2828(208) 882-2179 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles A Jacobson M.d. NPPES

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

CHARLES A JACOBSON M.D. (NPI 1760492656) is an individual orthopaedic surgery provider in Moscow, Idaho, licensed in Idaho (M6567) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1760492656
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCHARLES A JACOBSONCredential: M.D.
Location Address2500 W A ST, SUITE 201Moscow, ID 83843-5065
Mailing Address2500 W A St, Suite 201Moscow, ID 83843-5065 · (208) 883-2828 · Fax (208) 882-2179
Phone(208) 883-2828
Fax(208) 882-2179
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 4, 2015
✔ NPI 1760492656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in ID · M6567✔ Licensed in WA · 31851
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2500 W A ST, Moscow, ID 83843
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Other Identifiers 6

Medicaid1092733WA
Medicare NSC0343160002
Medicaid002743901ID
Medicare PIN319300002WA
Other0102784WA · Dept Of Labor
Medicare UPINA89835

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.

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%45 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA W CHENG
Audiologist
2500 W A ST, SUITE 202
MOSCOW, ID 83843
Latah County (208) 882-4662
DR. DAVID BRYAN LEACH M.D
Ophthalmology
2500 W A ST, SUITE 202
MOSCOW, ID 83843
Latah County (208) 882-4662
CHARLES A JACOBSON MD
Orthopaedic Surgery
2500 W A ST, SUITE 201
MOSCOW, ID 83843
Latah County (208) 883-2828
MICHELLE LYNN GORTON CST
2500 W A ST, SUITE 201
MOSCOW, ID 83843
Latah County (208) 883-2828
CLEARVIEW EYE CLINIC LTD
Ophthalmology
2500 W A ST, SUITE 202
MOSCOW, ID 83843
Latah County (208) 882-4662
DR. SHAWN CHARLES RICHARDS M.D
Ophthalmology
2500 W A ST, SUITE 202
MOSCOW, ID 83843
Latah County (208) 882-4662

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 Charles Jacobson's NPI number?

The NPI number for Charles Jacobson is 1760492656. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Charles Jacobson located?

Charles Jacobson practices at 2500 W A St Suite 201, Moscow, ID 83843. The listed phone number is (208) 883-2828.

What is Charles Jacobson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Charles Jacobson was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.