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JACOB MATTHEW SMITH
NPI 1760838965
Family Medicine in Chicago, IL

Active since May 06, 2016PECOS EnrolledAccepts Medicare Assignment
1044 N MOZART ST STE 100, CHICAGO, IL 60622(773) 292-8300(773) 292-2601 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2019, Aug 1, 2019, Sep 27, 2016 (3 updates tracked since 2016).

About Jacob Matthew Smith NPPES

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

JACOB MATTHEW SMITH (NPI 1760838965) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036149766) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Humboldt Park Health, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1760838965
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB MATTHEW SMITH
Location Address1044 N MOZART ST STE 100Chicago, IL 60622-3644
Mailing Address1044 N Mozart St Ste 100Chicago, IL 60622-3644 · (773) 292-8300 · Fax (773) 292-2601
Phone(773) 292-8300
Fax(773) 292-2601
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2016
Enumeration DateMay 6, 2016
Last NPPES UpdateDecember 27, 20193 updates tracked since enumeration
✔ NPI 1760838965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036149766
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1044 N MOZART ST STE 100, Chicago, IL 60622
Open in Google Maps ↗

Secondary Practice Location 1

Location 12750 W North AveChicago, IL 60647-5247 · Phone (312) 666-3494 · Fax (773) 276-0749

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 Matthew Smith 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 ID7810289691
PECOS Enrollment IDI20190808000871
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 2

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
41 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
36 services21 patients

Hospital Affiliations CMS Care Compare

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

Humboldt Park Health

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140206
Location1044 N Francisco AveChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims32 services$5.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims21 services$0.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.64 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 2

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

DR. CLAUDIA VANDIVER M.D.
Family Medicine
1044 N MOZART ST STE 100
CHICAGO, IL 60622
Cook County (773) 292-8300
DR. MARGOT TULIAO OCAMPO M.D.
Family Medicine
1044 N MOZART ST STE 100
CHICAGO, IL 60622
Cook County (773) 292-8300

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 Jacob Smith's NPI number?

The NPI number for Jacob Smith is 1760838965. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Jacob Smith located?

Jacob Smith practices at 1044 N Mozart St Ste 100, Chicago, IL 60622. The listed phone number is (773) 292-8300.

What is Jacob Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Smith enrolled in Medicare?

Yes. Jacob Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jacob Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Smith affiliated with any hospitals?

According to CMS data, Jacob Smith is affiliated with Humboldt Park Health.

When was this NPI record last updated?

The NPPES record for Jacob Smith was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.