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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB D. SHANK M.D.
NPI 1780983312
Emergency Medicine in Phoenix, AZ

Active since March 22, 2011PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
4808 N 24TH ST STE 125, PHOENIX, AZ 85016(602) 551-6271 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacob D. Shank M.d. NPPES

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

DR. JACOB D. SHANK M.D. (NPI 1780983312) is an individual emergency medicine provider in Phoenix, Arizona, licensed in Arizona (49186) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2011).

NPPES Registry Identity

NPI1780983312
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACOB D. SHANKCredential: M.D.
Location Address4808 N 24TH ST STE 125Phoenix, AZ 85016-9120
Mailing Address4808 N 24th St Ste 125Phoenix, AZ 85016-9120 · (602) 551-6271
Phone(602) 551-6271
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2011
Enumeration DateMarch 22, 2011
Last NPPES UpdateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1780983312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · 49186
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 49186 (AZ)
4808 N 24TH ST STE 125, Phoenix, AZ 85016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Dr. Jacob D. Shank M.d. 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 ID8325267594
PECOS Enrollment IDI20140920000338
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jacob Shank reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Acute Medical Services 1 PC
1.9 mi
Hospitalist
1930 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 302 clinicians in this Medicare group
NPI 1154860674 (602) 532-1000
Emergency Group Of Arizona Professional Corporation
4.3 mi
Emergency Medicine
2000 W BETHANY HOME RD
Phoenix, AZ 85015
  • Reassigned Medicare billing, Arizona enrollment
  • 260 clinicians in this Medicare group
NPI 1215275433 (925) 924-1600
Flagstaff Emergency Physicians
119 mi
Emergency Medicine
1200 N BEAVER ST
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 58 clinicians in this Medicare group
NPI 1073683991 (928) 779-3366
Sound Physicians Emergency Medicine Of Arizona, Inc.
171 mi
Emergency Medicine
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 239 clinicians in this Medicare group
NPI 1700328663 (520) 417-4594

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
173 services167 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
162 services158 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
128 services123 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
40 services39 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
38 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

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 Shank's NPI number?

The NPI number for Jacob Shank is 1780983312. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Jacob Shank located?

Jacob Shank practices at 4808 N 24th St Ste 125, Phoenix, AZ 85016. The listed phone number is (602) 551-6271.

What is Jacob Shank's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Shank enrolled in Medicare?

Yes. Jacob Shank 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 organizations bill Medicare for Jacob Shank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Shank reassigns Medicare benefits to 4 organizations: Arizona Acute Medical Services 1 PC (Phoenix, AZ), Emergency Group Of Arizona Professional Corporation (Phoenix, AZ), Flagstaff Emergency Physicians (Flagstaff, AZ) and Sound Physicians Emergency Medicine Of Arizona, Inc. (Sierra Vista, AZ). Each 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 Shank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Shank accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Jacob Shank 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 Shank was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.