JACOB FORRESTER SAMMON MD
NPI 1952005084
Emergency Medicine in Jacksonville, FL

Q: What is Jacob Sammon's NPI number?

The NPI number for Jacob Sammon is 1952005084. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Jacob Sammon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Sammon was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 30, 2023PECOS EnrolledAccepts Medicare Assignment

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-4106(904) 244-5848 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Mar 30, 2023 (2 updates tracked since 2023).

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About Jacob Forrester Sammon Md NPPES

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

JACOB FORRESTER SAMMON MD (NPI 1952005084) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME180946) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of University Of Florida College Of Medicine (2023).

NPPES Registry Identity

NPI1952005084

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJACOB FORRESTER SAMMONCredential: MD

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing Address655 W 8th St # C506Jacksonville, FL 32209-6511 · (904) 244-4106 · Fax (904) 244-5848

Phone(904) 244-4106

Fax(904) 244-5848

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2023

Enumeration DateMarch 30, 2023

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1952005084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · ME180946

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

655 W 8TH ST, Jacksonville, FL 32209

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Forrester Sammon 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 ID3678032349

PECOS Enrollment IDI20260824004394

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 Jacob Sammon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pensacola Emergency Physicians, LLC

328 mi

Emergency Medicine

1110 GULF BREEZE PKWY
Gulf Breeze, FL 32561

Reassigned Medicare billing, Florida enrollment
119 clinicians in this Medicare group

NPI 1427356393 (850) 434-4011

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

Hospital Affiliations CMS Care Compare

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100093

Location123 Baptist WayPensacola, FL 32503 · Escambia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology