BENJAMIN CLARK JACOBS MD
NPI 1982846119
Radiology - Diagnostic Radiology in Provo, UT

Active since April 02, 2009PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W, STE 112, PROVO, UT 84604(801) 812-4624(801) 812-4699 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2025, Apr 16, 2020, Jun 21, 2016 (3 updates tracked since 2016).

About Benjamin Clark Jacobs Md NPPES

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

BENJAMIN CLARK JACOBS MD (NPI 1982846119) is an individual diagnostic radiology provider in Provo, Utah, licensed in Utah (9693882-1205) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Washington University School Of Medicine (2009).

NPPES Registry Identity

NPI1982846119
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBENJAMIN CLARK JACOBSCredential: MD
Location Address1055 N 500 W, STE 112Provo, UT 84604-3305
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 812-4699
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2009
Enumeration DateApril 2, 2009
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1982846119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in UT · 9693882-1205
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1055 N 500 W, Provo, UT 84604

Accepted Insurance

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

Benjamin Clark Jacobs 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 ID446477848
PECOS Enrollment IDI20160713002028
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 39

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
10,501 services132 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
6,921 services48 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
120 services12 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
99 services97 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
68 services65 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
66 services58 patients

Hospital Affiliations CMS Care Compare 4

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

Mountain View Hospital

Acute Care Hospitals · Payson, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460013
Location1000 East 100 NorthPayson, UT 84651 · Utah County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Central Valley Medical Center - Cah

Critical Access Hospitals · Nephi, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461304
Location48 West 1500 NorthNephi, UT 84648 · Juab County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1055 N 500 W, STE 222
PROVO, UT 84604
Internal Medicine (Cardiovascular Disease)
1055 N 500 W, SUITE 101
PROVO, UT 84604
Obstetrics & Gynecology (Gynecology)
1055 N 500 W, SUITE 212
PROVO, UT 84604
Internal Medicine (Gastroenterology)
1055 N 500 W, SUITE 100 BLDG B
PROVO, UT 84604
Orthopaedic Surgery
1055 N 500 W
PROVO, UT 84604
Dietitian, Registered
1055 N 500 W, SUITE 122
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, SUITE 202
PROVO, UT 84604
Internal Medicine (Nephrology)
1055 N 500 W
PROVO, UT 84604

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 Benjamin Jacobs's NPI number?

The NPI number for Benjamin Jacobs is 1982846119. It was assigned to this individual provider in the NPPES registry on April 2, 2009.

Where is Benjamin Jacobs located?

Benjamin Jacobs practices at 1055 N 500 W Ste 112, Provo, UT 84604. The listed phone number is (801) 812-4624.

What is Benjamin Jacobs's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Benjamin Jacobs enrolled in Medicare?

Yes. Benjamin Jacobs 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.

What insurance does Benjamin Jacobs accept?

Health plans from Molina Healthcare and Select Health list Benjamin 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.

Is Benjamin Jacobs affiliated with any hospitals?

According to CMS data, Benjamin Jacobs is affiliated with Mountain View Hospital, Holy Cross Hospital-Jordan Valley, Timpanogos Regional Hospital and Central Valley Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Benjamin Jacobs was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.