JACOB MICHAEL TAVERNA MD
NPI 1811979099
Internal Medicine in Butte, MT

Active since November 15, 2005PECOS Enrolled
435 S CRYSTAL ST, SUITE 300, BUTTE, MT 59701(406) 496-3600(406) 496-3653 Get Directions Write a Review

NPPES record last updated: January 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Michael Taverna Md NPPES

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

JACOB MICHAEL TAVERNA MD (NPI 1811979099) is an individual internal medicine provider in Butte, Montana, licensed in Montana (7657) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811979099
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACOB MICHAEL TAVERNACredential: MD
Location Address435 S CRYSTAL ST, SUITE 300Butte, MT 59701-1506
Mailing Address435 S Crystal St, Suite 300Butte, MT 59701-1506 · (406) 496-3600 · Fax (406) 496-3653
Fax(406) 496-3653
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateJanuary 21, 2008
NPI 1811979099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MT · 7657
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
435 S CRYSTAL ST, Butte, MT 59701

Other Identifiers 2

Medicaid006 4818MT
Medicare UPINC64254

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Michael Taverna Md 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 59701 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers46 claims100 services$5.16 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$17.45 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier20 claims240 services$1.71 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers21 claims26 services$6.75 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers13 claims13 services$42.54 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers12 claims12 services$110.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinical Medical Laboratory
435 S CRYSTAL ST, SUITE 210
BUTTE, MT 59701
Physical Therapist
435 S CRYSTAL ST, STE 400
BUTTE, MT 59701
Clinical Medical Laboratory
435 S CRYSTAL ST, SUITE 210
BUTTE, MT 59701
Orthopaedic Surgery
435 S CRYSTAL ST, SUITE 400
BUTTE, MT 59701
Clinic/Center (Radiology)
435 S CRYSTAL ST
BUTTE, MT 59701
Nurse Practitioner (Adult Health)
435 S CRYSTAL ST
BUTTE, MT 59701
Surgery
435 S CRYSTAL ST
BUTTE, MT 59701
Orthopaedic Surgery
435 S CRYSTAL ST, SUITE 400
BUTTE, MT 59701

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 Taverna's NPI number?

The NPI number for Jacob Taverna is 1811979099. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Jacob Taverna located?

Jacob Taverna practices at 435 S Crystal St Suite 300, Butte, MT 59701. The listed phone number is (406) 496-3600.

What is Jacob Taverna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacob Taverna enrolled in Medicare?

Yes. Jacob Taverna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Taverna was last updated on January 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.