JACOB IVEY DPM
NPI 1891374302
Podiatrist in Winter Garden, FL

Q: What is Jacob Ivey's NPI number?

The NPI number for Jacob Ivey is 1891374302. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Q: What is Jacob Ivey's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Ivey was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 April 03, 2021PECOS EnrolledAccepts Medicare Assignment

15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787(407) 605-2321(407) 671-4155 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2025, Feb 3, 2025, Aug 12, 2024 and 2 more (5 updates tracked since 2021).

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About Jacob Ivey Dpm NPPES

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

JACOB IVEY DPM (NPI 1891374302) is an individual podiatrist in Winter Garden, Florida, licensed in Florida (PO4464) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Orlando Health-health Central Hospital, and maintains a secondary practice location in Celebration.

NPPES Registry Identity

NPI1891374302

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameJACOB IVEYCredential: DPM

Location Address15815 SHADDOCK DR STE 130Winter Garden, FL 34787-5773

Mailing Address15815 Shaddock Dr Ste 130Winter Garden, FL 34787-5773 · (813) 400-1140 · Fax (813) 701-9132

Phone(407) 605-2321

Fax(407) 671-4155

Sole ProprietorNo

Medical School CMSArizona Podiatric Med Program At Midwestern UnGraduated 2021

Enumeration DateApril 3, 2021

Last NPPES UpdateMarch 10, 20255 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1891374302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in FL · PO4464

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License PO4464 (FL)

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License PO4464 (FL)

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License PO4464 (FL)

15815 SHADDOCK DR STE 130, Winter Garden, FL 34787

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Secondary Practice Location 1

Location 11530 Celebration Blvd Ste 402Celebration, FL 34747-5165 · Phone (407) 557-3018 · Fax (321) 296-7192

Other Identifiers 2

OtherYC4QHFL · Bcbs Fl Blue

Other16150857Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 Ivey Dpm 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 ID2769891613

PECOS Enrollment IDI20240514003841

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 6

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 of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

41 services32 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

38 services28 patients

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.

36 services28 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

26 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number100030

Location10000 W Colonial DrOcoee, FL 34761 · Orange County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34787 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 6

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

ROMA PATEL DPM

Podiatrist