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JACOB WILLARD REDDICK M.D.
NPI 1912317587
Family Medicine in Lubbock, TX

Active since May 05, 2014Opted out of Medicare · through Feb 6, 2027
5807 63RD STREET, SUITE 200, LUBBOCK, TX 79424(806) 785-0600(806) 785-0606 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Jan 18, 2019, Sep 11, 2017 (3 updates tracked since 2017).

About Jacob Willard Reddick M.d. NPPES

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

JACOB WILLARD REDDICK M.D. (NPI 1912317587) is an individual family medicine provider in Lubbock, Texas, licensed in Texas (Q6092) and active in the NPI registry since May 2014. He has opted out of Medicare through February 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912317587
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB WILLARD REDDICKCredential: M.D.
Location Address5807 63RD STREET, SUITE 200Lubbock, TX 79424
Mailing Address5807 63rd Street, Suite 200Lubbock, TX 79424 · (806) 785-0600 · Fax (806) 785-0606
Phone(806) 785-0600
Fax(806) 785-0606
Sole ProprietorNo
Enumeration DateMay 5, 2014
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1912317587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · Q6092✔ Licensed in TX · AT5828009-960
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5807 63RD STREET, Lubbock, TX 79424
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Other Identifiers 1

OtherQ6092TX · Texas Medical Board

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacob Willard Reddick M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 6, 2025 through February 6, 2027.

Opt-Out Effective DateFebruary 6, 2025
Opt-Out In Effect ThroughFebruary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79424 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Reddick's NPI number?

The NPI number for Jacob Reddick is 1912317587. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Jacob Reddick located?

Jacob Reddick practices at 5807 63rd Street Suite 200, Lubbock, TX 79424. The listed phone number is (806) 785-0600.

What is Jacob Reddick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Reddick enrolled in Medicare?

No. Jacob Reddick has opted out of Medicare through February 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacob Reddick was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.