MICHAEL G. JAKOBY SR. M.D. NPI 1770515181
Internal Medicine - Endocrinology, Diabetes & Metabolism in Springfield, IL
About MICHAEL G. JAKOBY SR. M.D.
Michael Jakoby is an internist established in Springfield, Illinois and his medical specialization is Internal Medicine with a focus in endocrinology, diabetes & metabolism with more than 28 years of experience. He graduated from University Of Washington School Of Medicine in 1995. The NPI number of this provider is 1770515181 and was assigned on July 2006. The practitioner's primary taxonomy code is 207RE0101X with license number 036-106808 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
| NPI | 1770515181 |
| Provider Name | MICHAEL G. JAKOBY SR. M.D. |
| Location Address | 751 N RUTLEDGE ST STE 2300 SPRINGFIELD, IL 62702 |
| Location Phone | (217) 545-3821 |
| Mailing Address | PO BOX 19636 SPRINGFIELD, IL 62794 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-07-2006 |
| Last Update Date | 11-17-2020 |
An internist like Michael Jakoby is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Michael Jakoby is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Michael Jakoby is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: administration of the ahrq survey of patient safety culture, clinical data registry reporting, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, e-prescribing, falls: screening for future fall risk, immunization registry reporting, participation in an ahrq-listed patient safety organization., participation in cahps or other supplemental questionnaire, provide patients electronic access to their health information, security risk analysis and use of high-risk medications in the elderly.
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.02 for a new patient copayment and $25.37 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RE0101X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Endocrinology, Diabetes & Metabolism |
| License No. | 036-106808 |
| License State | IL |
| Taxonomy Description | An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
751 N RUTLEDGE ST
STE 2300
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-3821
Fax: (217) 545-9125
Mailing Address
PO BOX 19636
SPRINGFIELD, IL
ZIP 62794
Phone: (217) 545-3821
Fax: (217) 545-9125
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3577504422 |
| PECOS Enrollment ID | I20050520000277 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 62702 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.93 | $174.63 | $132.1 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.23 | $43.65 | $33.02 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.32 | $142.11 | $101.49 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.33 | $35.52 | $25.37 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 84 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 95.2 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Administration of the AHRQ Survey of Patient Safety Culture | Yes | N/A |
| Administration of the AHRQ Survey of Patient Safety Culture and submission of data to the comparative database (refer to AHRQ Survey of Patient Safety Culture website http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/index.html).Note: This activity may be selected once every 4 years, to avoid duplicative information given that some of the modules may change on a year by year basis but over 4 years there would be a reasonable expectation for the set of modules to have undergone substantive change, for the improvement activities performance category score. | ||
| Clinical Data Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. | ||
| Controlling High Blood Pressure | 67% | 244 |
| Percentage of patients 18-85 years of age who had a diagnosis of hypertension overlapping the measurement period and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period. | ||
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 24% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 269 |
| Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. | ||
| Diabetes: Medical Attention for Nephropathy | 89% | 269 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period. | ||
| Documentation of Current Medications in the Medical Record | 63% | 835 |
| Percentage of visits for patients aged 18 years and older for which the MIPS eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration. | ||
| e-Prescribing | 100% | 466 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT. | ||
| Falls: Screening for Future Fall Risk | 16% | 150 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS). | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
| Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
| Provide Patients Electronic Access to Their Health Information | 80% | 238 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 150 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication.2) Percentage of patients who were ordered at least two of the same high-risk medications. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 150 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication.2) Percentage of patients who were ordered at least two of the same high-risk medications. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 85Hemoglobin A1C level (HCPCS:83036)
- 29Urinalysis, manual test (HCPCS:81002)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 100500484 | MEDICAID (05) | NV |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 5 | 1 | 5 | 1 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 10 | 1 | 10 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 0 + 1 + 1 + 0 + 1 + 1 + 6 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1770515181 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861495699 | MR. ROBERT A BUZZELL M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-3821 |
| 1366445249 | MR. JONATHAN N GOLDFARB M.D. Individual | Dermatology | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-3821 |
| 1285637975 | DR. ANNE V MILLER MD Individual | Internal Medicine (Rheumatology) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1376538124 | JAYNE K FEDOR P.A.C. Individual | Physician Assistant (Medical) | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-0173 |
| 1891782520 | MARK P MCANDREW M.D. Individual | Orthopaedic Surgery | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-5878 |
| 1306833843 | DR. ROBERT L ROBINSON M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST SUITE 1100 SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1164410890 | MARK L FRANCIS M.D. Individual | Internal Medicine (Rheumatology) | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1194713958 | KENT S KAPITAN M.D. Individual | Internal Medicine (Pulmonary Disease) | 751 N RUTLEDGE ST RM 0300 SPRINGFIELD, IL 62702 (217) 545-5864 |
| 1205824059 | LANIE E EAGLETON M.D. Individual | Internal Medicine (Pulmonary Disease) | 751 N RUTLEDGE ST RM 0300 SPRINGFIELD, IL 62702 (217) 545-5864 |
| 1669460390 | J KEVIN DORSEY M.D. Individual | Internal Medicine (Rheumatology) | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1871584649 | THOMAS A ALA M.D. Individual | Psychiatry & Neurology (Neurology) | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-8417 |
| 1871584599 | KABIYADI H ACHARYA M.D. Individual | Psychiatry & Neurology (Neurology) | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-8417 |
| 1962483180 | RONALD F ZEC PH.D. Individual | Clinical Neuropsychologist | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-8417 |
| 1255312039 | CHARLENE J YOUNG CFNP Individual | Nurse Practitioner (Family) | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-8417 |
| 1912982919 | PRAVEEN KANDULA M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1821073784 | RICHARD B ROSHER M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1700 SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1407831399 | SHERRY B ROBINSON RNCS Individual | Clinical Nurse Specialist (Gerontology) | 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1154306017 | GARY M RULL M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1427033497 | ERIK J CONSTANCE M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-0182 |
| 1104801190 | ALAN J DECKARD M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-0182 |
Frequently Asked Questions
What is Michael Jakoby SR. M.D. NPI number?
The NPI number assigned to this healthcare provider is 1770515181, registered as an "individual" on July 07, 2006
Where is Michael Jakoby SR. M.D. located?
The provider is located at 751 N Rutledge St Ste 2300 Springfield, Il 62702 and the phone number is (217) 545-3821
Which is Michael Jakoby SR. M.D. specialty?
The provider's speciality is Internal Medicine with a focus in Endocrinology, Diabetes & Metabolism
How many years of experience does Michael Jakoby SR. M.D. have?
The provider has more than 28 years of experience. He graduated from University Of Washington School Of Medicine in 1995.
What insurance does Michael Jakoby SR. M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Michael Jakoby SR. M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Michael Jakoby SR. M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Diabetes: Medical Attention for Nephropathy, e-Prescribing, Provide Patients Electronic Access to Their Health Information , Use of High-Risk Medications in the Elderly. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Michael Jakoby SR. M.D.?
Medicare beneficiaries should expect a typical cost of $132.1 with an average copayment of $33.02 for new patient appointments. Established patients should expect a typical charge of $101.49 and an average copayment of 25.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Michael Jakoby SR. M.D.?
The most common procedures or services performed by this practitioner are: Hemoglobin A1C level and Urinalysis, manual test.
How do I update my NPI information?
The NPI record of Michael Jakoby SR. M.D. was last updated on July 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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