JACOB T ARK M.D.
NPI 1891053716
Urology in Saint Louis, MO

Active since April 28, 2012PECOS EnrolledAccepts Medicare Assignment
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141(314) 567-6071 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 1, 2021, Apr 21, 2021, Jul 13, 2017 (3 updates tracked since 2017).

About Jacob T Ark M.d. NPPES

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

JACOB T ARK M.D. (NPI 1891053716) is an individual urology provider in Saint Louis, Missouri, licensed in Illinois (36145240) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Fairview Heights.

NPPES Registry Identity

NPI1891053716
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJACOB T ARKCredential: M.D.
Location Address12855 N 40 DR STE 375Saint Louis, MO 63141-8657
Mailing Address12855 N 40 Dr Ste 375Saint Louis, MO 63141-8657 · (314) 567-6071
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2012
Enumeration DateApril 28, 2012
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1891053716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in IL · 36145240 Licensed in MO · 2018009509
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

12855 N 40 DR STE 375, Saint Louis, MO 63141

Secondary Practice Location 1

Location 1326 Fountains PkwyFairview Heights, IL 62208-2041 · Phone (618) 489-8030

Accepted 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

Jacob T Ark 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 ID3870896715
PECOS Enrollment IDI20180731001393, I20180806001223
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 32

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,428 services21 patients
Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
1,700 services18 patients
Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
1,092 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
716 services422 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
650 services396 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
561 services89 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers32 claims5,430 services$1.73 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 10

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

Physical Therapist
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141
Urology
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141
Physician Assistant (Medical)
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141
Physician Assistant
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141
Urology
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141
Urology
12855 N 40 DR STE 375
SAINT LOUIS, MO 63141

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 Ark's NPI number?

The NPI number for Jacob Ark is 1891053716. It was assigned to this individual provider in the NPPES registry on April 28, 2012.

Where is Jacob Ark located?

Jacob Ark practices at 12855 N 40 Dr Ste 375, Saint Louis, MO 63141. The listed phone number is (314) 567-6071.

What is Jacob Ark's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jacob Ark enrolled in Medicare?

Yes. Jacob Ark 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.

What insurance does Jacob Ark accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Jacob Ark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Ark affiliated with any hospitals?

According to CMS data, Jacob Ark is affiliated with Memorial Hospital, Hshs St Elizabeth's Hospital, Anderson Hospital, Missouri Baptist Medical Center and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Ark was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.