Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB BRYCE THATCHER DO
NPI 1992263438
Urology in Rexburg, ID

Q: What is Jacob Thatcher's NPI number?

The NPI number for Jacob Thatcher is 1992263438. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Q: What is Jacob Thatcher's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Thatcher was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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 04, 2019PECOS Enrolled

30 MADISON PROFESSIONAL PARK, REXBURG, ID 83440(208) 356-0004(208) 356-0006 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Mar 4, 2019 (2 updates tracked since 2019).

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About Jacob Bryce Thatcher Do NPPES

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

JACOB BRYCE THATCHER DO (NPI 1992263438) is an individual urology provider in Rexburg, Idaho, licensed in Idaho (MSO0262) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992263438

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJACOB BRYCE THATCHERCredential: DO

Location Address30 MADISON PROFESSIONAL PARKRexburg, ID 83440-2058

Mailing Address30 Madison Professional ParkRexburg, ID 83440-2058 · (208) 356-0004 · Fax (208) 356-0006

Phone(208) 356-0004

Fax(208) 356-0006

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 4, 2019

Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration

NPPES CertifiedOctober 26, 2026

✔ NPI 1992263438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in ID · MSO0262

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

30 MADISON PROFESSIONAL PARK, Rexburg, ID 83440

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, Select Health and more.Insurance ›

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 Bryce Thatcher Do 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 ID2264874528

PECOS Enrollment IDI20240531002279

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 Reassignments

Medicare enrollment records show Jacob Thatcher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Idaho Urology 1 PLLC

Same address

Urology

30 MADISON PROFESSIONAL PARK
Rexburg, ID 83440

Reassigned Medicare billing, Idaho enrollment

NPI 1316890270 (208) 351-6363

Mountain View Hospital LLC

26 mi

General Acute Care Hospital

2325 CORONADO ST
Idaho Falls, ID 83404

Reassigned Medicare billing, Idaho enrollment
298 clinicians in this Medicare group

NPI 1669462362 (208) 557-2700

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

Areas of Expertise CMS Part B claims 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services22 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

18 services18 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

15 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number130025

Location450 East Main StreetRexburg, ID 83440 · Madison County

Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130074

Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County

Emergency services

Teton Valley Hospital

Critical Access Hospitals · Driggs, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131313

Location120 East Howard AveDriggs, ID 83422 · Teton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 2

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

MADISON EAR NOSE AND THROAT CLINIC

Otolaryngology

30 MADISON PROFESSIONAL PARK
REXBURG, ID 83440

Madison County (208) 656-9646

IDAHO UROLOGY 1 PLLC

Urology

30 MADISON PROFESSIONAL PARK
REXBURG, ID 83440

Madison County (208) 351-6363

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 Thatcher's NPI number?

The NPI number for Jacob Thatcher is 1992263438. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Jacob Thatcher located?

Jacob Thatcher practices at 30 Madison Professional Park, Rexburg, ID 83440. The listed phone number is (208) 356-0004.

What is Jacob Thatcher's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jacob Thatcher enrolled in Medicare?

Yes. Jacob Thatcher 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.

Which organizations bill Medicare for Jacob Thatcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Thatcher reassigns Medicare benefits to 2 organizations: Idaho Urology 1 PLLC (Rexburg, ID) and Mountain View Hospital LLC (Idaho Falls, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Thatcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Thatcher accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Select Health and University of Utah Health Plans list Jacob Thatcher 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 Jacob Thatcher affiliated with any hospitals?

According to CMS data, Jacob Thatcher is affiliated with Eastern Idaho Regional Medical Center, Madison Memorial Hospital, Mountain View Hospital, Idaho Falls Community Hospital, LLC and Teton Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Thatcher was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.