DR. JON R JACOBSON D.O.
NPI 1780753822
Preventive Medicine - Occupational Medicine in O Fallon, IL

Active since November 06, 2006PECOS Enrolled
1512 N GREEN MOUNT RD, O FALLON, IL 62269(618) 628-8440 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2021, Jul 22, 2019 (2 updates tracked since 2019).

About Dr. Jon R Jacobson D.o. NPPES

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

DR. JON R JACOBSON D.O. (NPI 1780753822) is an individual occupational medicine provider in O Fallon, Illinois, licensed in Illinois (036149530) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780753822
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameDR. JON R JACOBSONCredential: D.O.
Location Address1512 N GREEN MOUNT RDO Fallon, IL 62269-2083
Mailing Address1512 N Green Mount RdO Fallon, IL 62269-2083 · (618) 628-8440
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
NPI 1780753822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License Licensed in IL · 036149530
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
1512 N GREEN MOUNT RD, O Fallon, IL 62269

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (PECOS)

Dr. Jon R Jacobson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Other Providers at the Same Location NPPES 19

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

Clinic/Center
1512 N GREEN MOUNT RD, SUITE 200
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Internal Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Durable Medical Equipment & Medical Supplies
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O'FALLON, IL 62269
Emergency Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinic/Center (Urgent Care)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Nurse Practitioner (Family)
1512 N GREEN MOUNT RD
O FALLON, IL 62269

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 Jon Jacobson's NPI number?

The NPI number for Jon Jacobson is 1780753822. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Jon Jacobson located?

Jon Jacobson practices at 1512 N Green Mount Rd, O Fallon, IL 62269. The listed phone number is (618) 628-8440.

What is Jon Jacobson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Jon Jacobson enrolled in Medicare?

Yes. Jon Jacobson is registered in the Medicare PECOS enrollment system.

What insurance does Jon Jacobson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jon Jacobson 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 Jon Jacobson was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.