DR. TINA JACOB MD
NPI 1851914675
Family Medicine in Nottingham, MD

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
4924 CAMPBELL BLVD, NOTTINGHAM, MD 21236(410) 955-5000 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2023, May 27, 2020 (2 updates tracked since 2020).

About Dr. Tina Jacob Md NPPES

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

DR. TINA JACOB MD (NPI 1851914675) is an individual family medicine provider in Nottingham, Maryland, licensed in Maryland (D0098428) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1851914675
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TINA JACOBCredential: MD
Location Address4924 CAMPBELL BLVDNottingham, MD 21236-5908
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (806) 743-6130 · Fax (806) 743-3955
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018
Enumeration DateMay 27, 2020
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
NPI 1851914675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D0098428
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.

4924 CAMPBELL BLVD, Nottingham, MD 21236

Secondary Practice Location 1

Location 13601 4th StLubbock, TX 79430-0002 · Phone (806) 743-6130 · Fax (806) 743-3955

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. Tina Jacob Md 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 ID840614814
PECOS Enrollment IDI20231005000214
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 10

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.
150 services122 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.
69 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services47 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
38 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210049
Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

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.

Physical Therapist
4924 CAMPBELL BLVD, SUITE 130A
NOTTINGHAM, MD 21236
Physical Therapy Assistant
4924 CAMPBELL BLVD, SUITE 130A
NOTTINGHAM, MD 21236
Occupational Therapy Assistant
4924 CAMPBELL BLVD, SUITE 110
NOTTINGHAM, MD 21236
Family Medicine
4924 CAMPBELL BLVD, SUITE 200
BALTIMORE, MD 21236
Physical Therapist (Orthopedic)
4924 CAMPBELL BLVD, SUITE 130-A
BALTIMORE, MD 21236
Durable Medical Equipment & Medical Supplies
4924 CAMPBELL BLVD, SUITE 120
NOTTINGHAM, MD 21236
Physical Therapist
4924 CAMPBELL BLVD, SUITE 130-A
BALTIMORE, MD 21236
Physical Therapist
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236

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 Tina Jacob's NPI number?

The NPI number for Tina Jacob is 1851914675. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Tina Jacob located?

Tina Jacob practices at 4924 Campbell Blvd, Nottingham, MD 21236. The listed phone number is (410) 955-5000.

What is Tina Jacob's specialty?

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

Is Tina Jacob enrolled in Medicare?

Yes. Tina Jacob 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 Tina Jacob affiliated with any hospitals?

According to CMS data, Tina Jacob is affiliated with Johns Hopkins Hospital, The, Johns Hopkins Bayview Medical Center and Umd Upper Chesapeake Medical Center.

When was this NPI record last updated?

The NPPES record for Tina Jacob was last updated on December 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.