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JACOB BAMFORD COBLYN PA
NPI 1821618489
Physician Assistant - Medical in Palmer, MA

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
40 WRIGHT ST, PALMER, MA 01069(413) 370-5400(413) 370-5654 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Bamford Coblyn Pa NPPES

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

JACOB BAMFORD COBLYN PA (NPI 1821618489) is an individual medical provider in Palmer, Massachusetts, licensed in Massachusetts (PA8016) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Baystate Wing Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821618489
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB BAMFORD COBLYNCredential: PA
Location Address40 WRIGHT STPalmer, MA 01069-1138
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700
Phone(413) 370-5400
Fax(413) 370-5654
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2020
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1821618489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · PA8016
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
40 WRIGHT ST, Palmer, MA 01069
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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

Jacob Bamford Coblyn Pa 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 ID345643573
PECOS Enrollment IDI20210727000091
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
242 services172 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
73 services73 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
46 services37 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
35 services32 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
19 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

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.

LESLIE A DUBINSKY
Anesthesiology
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 284-5276
DR. JILL LEVIN DO, MPH
Hospitalist
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 283-8761
SACHIKO SOLT LICSW
Social Worker (Clinical)
40 WRIGHT ST, WING MEMORIAL HOSPITAL GRISWOLD CENTER
PALMER, MA 01069
Hampden County (413) 284-5285
DR. JOHN P REHEIS MD
Urology
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 284-5400
OSCAR A. MARTINEZ D.O.
Obstetrics & Gynecology
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 967-2040
DHANESH DOOKHRAN M.D.
Hospitalist
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 284-8761
DR. SCOTT A SIEGE M.D.
Pediatrics
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 967-2040
CAROL A COTE R.D.
Dietitian, Registered
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 283-7651

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 Coblyn's NPI number?

The NPI number for Jacob Coblyn is 1821618489. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Jacob Coblyn located?

Jacob Coblyn practices at 40 Wright St, Palmer, MA 01069. The listed phone number is (413) 370-5400.

What is Jacob Coblyn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacob Coblyn enrolled in Medicare?

Yes. Jacob Coblyn 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.

Is Jacob Coblyn affiliated with any hospitals?

According to CMS data, Jacob Coblyn is affiliated with Baystate Wing Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Coblyn was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.