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DR. BRYAN JOHN JACOBS M.D.
NPI 1902210404
Pediatrics in Miamisburg, OH

Active since June 12, 2014PECOS Enrolled
3333 W TECH RD STE 220, MIAMISBURG, OH 45342(937) 885-4475(937) 885-3670 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2025, Feb 11, 2025, Nov 11, 2024 and 1 more (4 updates tracked since 2018).

About Dr. Bryan John Jacobs M.d. NPPES

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

DR. BRYAN JOHN JACOBS M.D. (NPI 1902210404) is an individual pediatrics provider in Miamisburg, Ohio, licensed in Ohio (35.151519) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902210404
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRYAN JOHN JACOBSCredential: M.D.
Location Address3333 W TECH RD STE 220Miamisburg, OH 45342-0956
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129
Phone(937) 885-4475
Fax(937) 885-3670
Sole ProprietorNo
Enumeration DateJune 12, 2014
Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1902210404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OH · 35.151519✔ Licensed in NE · 29116
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3333 W TECH RD STE 220, Miamisburg, OH 45342
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1113 Lielmanis AveHurlburt Field, FL 32544-5613 · Phone (850) 881-5222 · Fax (850) 881-3123
Location 24881 Sugar Maple DrWright Patterson AFB, OH 45433-5529 · Phone (937) 522-4784

Other Identifiers 1

Medicaid0121663OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryan John Jacobs M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dayton Children's Specialty Physicians, Inc.
13 mi
Pediatrics
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
  • 479 clinicians in this Medicare group
NPI 1225192610 (937) 641-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45342 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 11

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

CORNERSTONE PEDIATRICS LLC
Pediatrics
3333 W TECH RD STE 220
MIAMISBURG, OH 45342
Montgomery County (937) 885-4475
CRAIG EVAN CHALFIE MD
Pediatrics
3333 W TECH RD STE 220
MIAMISBURG, OH 45342
Montgomery County (937) 885-4475
MRS. PAMELA SUZANNE WENTWORTH ARNP
Nurse Practitioner (Primary Care)
3333 W TECH RD STE 220
MIAMISBURG, OH 45342
Montgomery County (937) 885-4475
HOPE ELIZABETH MAUPIN
Counselor (Mental Health)
3333 W TECH RD STE 220
MIAMISBURG, OH 45342
Montgomery County (937) 748-6116
MICHELE CHARISE DRITZ M.D.
Pediatrics
3333 W TECH RD STE 220
MIAMISBURG, OH 45342
Montgomery County (937) 885-4475
DIVYA S THOMAS MD
Pediatrics
3333 W TECH RD STE 220
MIAMISBURG, OH 45342
Montgomery County (937) 885-4475
LACEY POLEWSKI
Nurse Practitioner (Primary Care)
3333 W TECH RD STE 220
MIAMISBURG, OH 45342
Montgomery County (937) 885-4475
JENNIFER LYNN SWEAT-BURDETTE M.D.
Pediatrics
3333 W TECH RD STE 220
MIAMISBURG, OH 45342
Montgomery County (937) 885-4475

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 Bryan Jacobs's NPI number?

The NPI number for Bryan Jacobs is 1902210404. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Bryan Jacobs located?

Bryan Jacobs practices at 3333 W Tech Rd Ste 220, Miamisburg, OH 45342. The listed phone number is (937) 885-4475.

What is Bryan Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bryan Jacobs enrolled in Medicare?

Yes. Bryan Jacobs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bryan Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Jacobs reassigns Medicare benefits to Dayton Children's Specialty Physicians, Inc. (Dayton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Jacobs accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Bryan Jacobs 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.

When was this NPI record last updated?

The NPPES record for Bryan Jacobs was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.