MARY AMANDA JACOBS M.D.
NPI 1811973894
Dermatology - MOHS-Micrographic Surgery in State College, PA

Q: What is Mary Jacobs's NPI number?

The NPI number for Mary Jacobs is 1811973894. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Q: What is Mary Jacobs's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for Mary Jacobs was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment

2188 SANDY DR, STATE COLLEGE, PA 16803(814) 237-6600(814) 237-5383 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2026, Aug 5, 2020 (2 updates tracked since 2020).

On this page

About Mary Amanda Jacobs M.d. NPPES

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

MARY AMANDA JACOBS M.D. (NPI 1811973894) is an individual mohs-micrographic surgery provider in State College, Pennsylvania, licensed in Pennsylvania (MD437386) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2003).

NPPES Registry Identity

NPI1811973894

Entity TypeIndividualFemale

Primary Taxonomy207ND0101X

Provider Legal NameMARY AMANDA JACOBSCredential: M.D.

Location Address2188 SANDY DRState College, PA 16803-2288

Mailing Address155 Wellness WayState College, PA 16803-6702 · (814) 231-7100 · Fax (814) 238-0790

Phone(814) 237-6600

Fax(814) 237-5383

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2003

Enumeration DateDecember 21, 2005

Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1811973894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in PA · MD437386

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License 46763 (MN)

2188 SANDY DR, State College, PA 16803

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Other Identifiers 5

MedicaidENROLLEDIA

Medicaid102337081PA

Medicaid699485700MN

OtherP00333407MN · Railroad Medicare

Medicaid35163500WI

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

Mary Amanda Jacobs 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 ID8325016421

PECOS Enrollment IDI20090819000336

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

Medicare enrollment records show Mary Jacobs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Nittany Medical Center Health Services Inc

1.3 mi

Internal Medicine

155 WELLNESS WAY
State College, PA 16803

Reassigned Medicare billing, Pennsylvania enrollment
393 clinicians in this Medicare group

NPI 1598992554 (814) 231-7000

Geisinger Clinic

1.7 mi

Family Medicine

1630 N ATHERTON ST
State College, PA 16803

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1447686654 (814) 238-1279

Dubois Dermatology And Cosmetics, LLC

50 mi

Dermatology

105 BEAVER DR, SUITE 200
Dubois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
2 clinicians in this Medicare group

NPI 1225419666 (814) 371-7546

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 18

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

337 services268 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

231 services148 patients

Removal and microscopic exam of growth, each additional block after 5 tissue blocks 17315

This procedure involves the removal of a growth for further examination. After the initial 5 tissue blocks, each additional block is examined under a microscope. This helps identify the nature of the growth and aids in determining the best course of treatment.

101 services23 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

66 services65 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

62 services56 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

43 services40 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

41 services38 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

37 services29 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

35 services18 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 13152

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

30 services30 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm 12042

This is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.

25 services23 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

23 services22 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

19 services14 patients

Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks 17314

This procedure involves removing growths from the trunk, arms, or legs. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any abnormalities. This aids in diagnosing and treating your condition effectively.

17 services14 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm 12053

This procedure involves the repair of a medium-sized wound (5.1-7.5 cm) on the face, ears, eyelids, nose, lips, or mouth. It's more complex than a simple stitch-up, often requiring layered stitches to ensure proper healing and minimize scarring.

14 services14 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

13 services13 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm 13151

This procedure involves the intricate repair of a wound that is 1.1 to 2.5 cm long on your eyelids, nose, ears, or lip. The goal is to mend the wound carefully to preserve function and minimize scarring. The process may involve stitching and other techniques.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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 4

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

KATHERINE TURCO DO

Family Medicine

2188 SANDY DR, SUITE A
STATE COLLEGE, PA 16803

Centre County (814) 278-1977

DALLIS DILLON

Physician Assistant

2188 SANDY DR
STATE COLLEGE, PA 16803

Centre County (814) 237-6600

LORRAINE ROSAMILIA M.D.

Dermatology

2188 SANDY DR
STATE COLLEGE, PA 16803

Centre County (814) 237-6600

DR. MATTHEW ALLYN HAZEY M.D.

Dermatology

2188 SANDY DR
STATE COLLEGE, PA 16803

Centre County (814) 237-6600

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 Mary Jacobs's NPI number?

The NPI number for Mary Jacobs is 1811973894. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Mary Jacobs located?

Mary Jacobs practices at 2188 Sandy Dr, State College, PA 16803. The listed phone number is (814) 237-6600.

What is Mary Jacobs's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Mary Jacobs enrolled in Medicare?

Yes. Mary Jacobs 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 Mary Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jacobs reassigns Medicare benefits to 3 organizations: Mount Nittany Medical Center Health Services Inc (State College, PA), Geisinger Clinic (State College, PA) and Dubois Dermatology And Cosmetics, LLC (Dubois, PA). 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 Mary Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mary Jacobs affiliated with any hospitals?

According to CMS data, Mary Jacobs is affiliated with Penn Highlands Dubois.

When was this NPI record last updated?

The NPPES record for Mary Jacobs was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.