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

Active since March 22, 2011PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
269 S CANDY LN, COTTONWOOD, AZ 86326(928) 639-6172 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 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 Cottonwood, 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 Address269 S CANDY LNCottonwood, AZ 86326-4158
Mailing Address269 S Candy LnCottonwood, AZ 86326-4158 · (928) 639-6172
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2011
Enumeration DateMarch 22, 2011
Last NPPES UpdateAugust 20, 2014
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.

269 S CANDY LN, Cottonwood, AZ 86326

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

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.

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 86326 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

Other Providers at the Same Location NPPES 20

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

Hospitalist
269 S CANDY LN
COTTONWOOD, AZ 86326
Radiology (Diagnostic Radiology)
269 S CANDY LN
COTTONWOOD, AZ 86326
Emergency Medicine
269 S CANDY LN
COTTONWOOD, AZ 86326
Physical Therapist
269 S CANDY LN
COTTONWOOD, AZ 86326
Emergency Medicine
269 S CANDY LN
COTTONWOOD, AZ 86326
Midwife
269 S CANDY LN
COTTONWOOD, AZ 86326
Speech-Language Pathologist
269 S CANDY LN
COTTONWOOD, AZ 86326
Emergency Medicine
269 S CANDY LN
COTTONWOOD, AZ 86326

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 269 S Candy Ln, Cottonwood, AZ 86326. The listed phone number is (928) 639-6172.

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.

What insurance does Jacob Shank accept?

Health plans from Ambetter from Arizona Complete Health, 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 August 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.