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DR. JACOB C. MARSHALL JR. M.D.
NPI 1922081249
Family Medicine in O Fallon, IL

Active since November 21, 2005PECOS Enrolled
95.01/100
CMS Quality Rating
103 N OAK ST, O FALLON, IL 62269(888) 577-6337 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob C. Marshall Jr. M.d. NPPES

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

DR. JACOB C. MARSHALL JR. M.D. (NPI 1922081249) is an individual family medicine provider in O Fallon, Illinois, licensed in Illinois (036102192) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922081249
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACOB C. MARSHALL JR.Credential: M.D.
Location Address103 N OAK STO Fallon, IL 62269-1165
Mailing Address2200 Bowler RdCollinsville, IL 62234-7012 · (618) 977-9607 · Fax (618) 624-9302
Phone(888) 577-6337
Sole ProprietorYes
Enumeration DateNovember 21, 2005
Last NPPES UpdateJuly 12, 2010
✔ NPI 1922081249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036102192
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-102192 (IL)
103 N OAK ST, O Fallon, IL 62269
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Other Identifiers 10

Medicare PINK30034IL
Medicare PINIL1682041IL
Medicare PIN214881051IL
Medicaid036102192 -8IL
Medicaid036102192-9IL
Medicaid036102192IL
Medicare ID-Type UnspecifiedK06197IL
Medicare UPINH14126IL
Medicaid1922081249MO
Other08232204IL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob C. Marshall Jr. 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services22 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

DR. ARTHUR SIPPO M.D.
Emergency Medicine
103 N OAK ST
O FALLON, IL 62269
St. Clair County (618) 624-3368
MARIA GALANOS
Emergency Medicine
103 N OAK ST
O FALLON, IL 62269
St. Clair County (618) 624-3368
DR. FARON FOX M.D.
Emergency Medicine
103 N OAK ST
O FALLON, IL 62269
St. Clair County (618) 624-3368
BRIAN LITLAND
Emergency Medicine
103 N OAK ST
O FALLON, IL 62269
St. Clair County (618) 624-3368
DR. DALE E LONG D.O
Emergency Medicine
103 N OAK ST
O FALLON, IL 62269
St. Clair County (618) 624-3368
VICTOR SUN
Emergency Medicine
103 N OAK ST
O FALLON, IL 62269
St. Clair County (618) 624-3368
SALVADOR CHAVEZ
Emergency Medicine
103 N OAK ST
O FALLON, IL 62269
St. Clair County (618) 624-3368
DR. DEBORAH E TREACY M.D.
Emergency Medicine
103 N OAK ST
O FALLON, IL 62269
St. Clair County (618) 624-3368

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 Marshall's NPI number?

The NPI number for Jacob Marshall is 1922081249. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Jacob Marshall located?

Jacob Marshall practices at 103 N Oak St, O Fallon, IL 62269. The listed phone number is (888) 577-6337.

What is Jacob Marshall's specialty?

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

Is Jacob Marshall enrolled in Medicare?

Yes. Jacob Marshall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Marshall was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.