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SAMUEL JACOB MD
NPI 1992931414
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Muncie, IN

Active since June 10, 2009PECOS Enrolled
76.2/100
CMS Quality Rating
2525 W UNIVERSITY AVE STE 300, MUNCIE, IN 47303(765) 747-3883 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2023, Jul 7, 2022, Aug 31, 2020 and 3 more (6 updates tracked since 2017).

About Samuel Jacob Md NPPES

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

SAMUEL JACOB MD (NPI 1992931414) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Muncie, Indiana, licensed in Indiana (01079242A) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1992931414
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameSAMUEL JACOBCredential: MD
Location Address2525 W UNIVERSITY AVE STE 300Muncie, IN 47303-3432
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(765) 747-3883
Sole ProprietorNo
Enumeration DateJune 10, 2009
Last NPPES UpdateNovember 15, 20236 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1992931414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in IN · 01079242A✔ Licensed in FL · ME131137✔ Licensed in MO · 2018005840
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2525 W UNIVERSITY AVE STE 300, Muncie, IN 47303
Open in Google Maps ↗

Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Jacob Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

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. KARIM SALEB MD
Internal Medicine (Cardiovascular Disease)
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303
Delaware County (765) 289-5420
DR. MANUEL G RIVERA MAZA MD
Internal Medicine (Interventional Cardiology)
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303
Delaware County (765) 289-5420
RAVI SAVANI M.D.
Internal Medicine (Pulmonary Disease)
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303
Delaware County (765) 289-5409
MR. CORY COFFEY FNP-BC
Nurse Practitioner (Family)
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303
Delaware County (765) 281-2000
JOHN J SCHIER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303
Delaware County (765) 289-5420
DARCY NICOLE CROUSE NP
Nurse Practitioner (Family)
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303
Delaware County (765) 289-5408
MRS. JULIE RENEE BOGUE NP
Nurse Practitioner (Family)
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303
Delaware County (765) 289-5420
MANSOUR R ALMNAJAM MD
Internal Medicine (Clinical Cardiac Electrophysiology)
2525 W UNIVERSITY AVE STE 300
MUNCIE, IN 47303
Delaware County (765) 289-5420

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 Samuel Jacob's NPI number?

The NPI number for Samuel Jacob is 1992931414. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Samuel Jacob located?

Samuel Jacob practices at 2525 W University Ave Ste 300, Muncie, IN 47303. The listed phone number is (765) 747-3883.

What is Samuel Jacob's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Samuel Jacob enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Jacob was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.