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DR. CIMY SUSAN JACOB MD
NPI 1912293184
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Lemoyne, PA

Active since June 25, 2011PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
UPMC CHILDRENS SPECIALIST- NEUROLOGY, 3 WALNUT STREET, SUITE 205, LEMOYNE, PA 17043(717) 988-0090(717) 221-5320 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2021, Jul 29, 2021 (2 updates tracked since 2021).

About Dr. Cimy Susan Jacob Md NPPES

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

DR. CIMY SUSAN JACOB MD (NPI 1912293184) is an individual neurology with special qualifications in child neurology provider in Lemoyne, Pennsylvania, licensed in Delaware (C1-0010960) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1912293184
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. CIMY SUSAN JACOBCredential: MD
Location AddressUPMC CHILDRENS SPECIALIST- NEUROLOGY, 3 WALNUT STREET, SUITE 205Lemoyne, PA 17043-1168
Mailing AddressUpmc Childrens Specialist- Neurology, 3 Walnut Street, Suite 205Lemoyne, PA 17043-1168 · (717) 988-0090 · Fax (717) 221-5320
Phone(717) 988-0090
Fax(717) 221-5320
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 25, 2011
Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
✔ NPI 1912293184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in DE · C1-0010960✔ Licensed in PA · MD475318
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
UPMC CHILDRENS SPECIALIST- NEUROLOGY, Lemoyne, PA 17043
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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. Cimy Susan 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 ID2365661519
PECOS Enrollment IDI20210819000353
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.

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

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 Cimy Jacob's NPI number?

The NPI number for Cimy Jacob is 1912293184. It was assigned to this individual provider in the NPPES registry on June 25, 2011.

Where is Cimy Jacob located?

Cimy Jacob practices at Upmc Childrens Specialist- Neurology 3 Walnut Street, Suite 205, Lemoyne, PA 17043. The listed phone number is (717) 988-0090.

What is Cimy Jacob's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Cimy Jacob enrolled in Medicare?

Yes. Cimy 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 Cimy Jacob affiliated with any hospitals?

According to CMS data, Cimy Jacob is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Cimy Jacob was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.