LESLIE T JACOBS DDS
NPI 1891805677
Dentist - General Practice in Spartanburg, SC

Active since August 30, 2006PECOS Enrolled
811 EAST MAIN STREET, SPARTANBURG, SC 29302(864) 573-9254(864) 573-5416 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leslie T Jacobs Dds NPPES

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

LESLIE T JACOBS DDS (NPI 1891805677) is an individual general practice provider in Spartanburg, South Carolina, licensed in South Carolina (1638) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891805677
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLESLIE T JACOBSCredential: DDS
Location Address811 EAST MAIN STREETSpartanburg, SC 29302
Mailing Address811 East Main StreetSpartanburg, SC 29302 · (864) 573-9254 · Fax (864) 573-5416
Fax(864) 573-5416
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1891805677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 1638
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

811 EAST MAIN STREET, Spartanburg, SC 29302

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leslie T Jacobs Dds 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 29302 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891805677, enumerated as an "individual" on August 30, 2006.

The provider is located at 811 EAST MAIN STREET SPARTANBURG, SC 29302 and the phone number is (864) 573-9254.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.