JACOB CARL YATES
NPI 1780412957
Optometrist in Palm Coast, FL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Yates reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palm Coast, FL 32164
- Reassigned Medicare billing, Florida enrollment
- 322 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Jacob Yates's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Yates reassigns Medicare benefits to Myeyedr Optometry Of Florida, LLC (Palm Coast, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Yates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Yates accept?
Health plans from AvMed, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 14 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 22 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.
# Jacob Carl Yates · NPI 1780412957
Optometrist provider in Palm Coast, Florida. Individual provider, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1780412957 (Entity type: Individual)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC6592 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15 CYPRESS BRANCH WAY STE 205, Palm Coast, FL 32164-8414
- **Phone:** (386) 445-1880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Myeyedr Optometry Of Florida, LLC (NPI 1356017420, Palm Coast, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pikeville, Kentucky College Of Osteopathic Med, class of 2024
## Record status
- **NPPES last updated:** December 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780412957) · Data from the CMS NPPES public registry.