JACOB CARL YATES
NPI 1780412957
Optometrist in Palm Coast, FL

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment
15 CYPRESS BRANCH WAY STE 205, PALM COAST, FL 32164(386) 445-1880 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Jul 22, 2024 (2 updates tracked since 2024).

About Jacob Carl Yates NPPES

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

JACOB CARL YATES (NPI 1780412957) is an individual optometrist in Palm Coast, Florida, licensed in Florida (OPC6592) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2024).

NPPES Registry Identity

NPI1780412957
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACOB CARL YATES
Location Address15 CYPRESS BRANCH WAY STE 205Palm Coast, FL 32164-8414
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899
Sole ProprietorYes
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2024
Enumeration DateJuly 22, 2024
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1780412957 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 FL · OPC6592 Licensed in KY · 2416DT
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.
15 CYPRESS BRANCH WAY STE 205, Palm Coast, FL 32164

Accepted 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 Carl Yates 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 ID5395273049
PECOS Enrollment IDI20250109001530
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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

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

Optometrist
15 CYPRESS BRANCH WAY STE 205
PALM COAST, FL 32164

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 Yates's NPI number?

The NPI number for Jacob Yates is 1780412957. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Jacob Yates located?

Jacob Yates practices at 15 Cypress Branch Way Ste 205, Palm Coast, FL 32164. The listed phone number is (386) 445-1880.

What is Jacob Yates's specialty?

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

Is Jacob Yates enrolled in Medicare?

Yes. Jacob Yates 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 Yates accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 9 other insurers list Jacob Yates 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.

When was this NPI record last updated?

The NPPES record for Jacob Yates was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.