GREGORY JACOBS DO
NPI 1790429595
Family Medicine in Saint Cloud, MN

Q: What is Gregory Jacobs's NPI number?

The NPI number for Gregory Jacobs is 1790429595. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Q: What is Gregory Jacobs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Jacobs was last updated on June 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment

1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303(320) 240-3157(320) 240-3165 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2025, Apr 26, 2022 (2 updates tracked since 2022).

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About Gregory Jacobs Do NPPES

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

GREGORY JACOBS DO (NPI 1790429595) is an individual family medicine provider in Saint Cloud, Minnesota, licensed in Minnesota (78055) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790429595

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGREGORY JACOBSCredential: DO

Location Address1555 NORTHWAY DR STE 200Saint Cloud, MN 56303-4913

Mailing Address1555 Northway Dr Ste 100Saint Cloud, MN 56303-1258 · (320) 240-3157 · Fax (320) 240-3165

Phone(320) 240-3157

Fax(320) 240-3165

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 26, 2022

Last NPPES UpdateJune 22, 20252 updates tracked since enumeration

NPPES CertifiedJune 22, 2025

✔ NPI 1790429595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 78055

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1555 NORTHWAY DR STE 200, Saint Cloud, MN 56303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Gregory Jacobs Do 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 ID7719366327

PECOS Enrollment IDI20241126000731

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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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.

SARA TAROKH MD

Student in an Organized Health Care Education/Training Program