PAUL ANDERS JACOBSON M.D. NPI 1629074190

NPI Information

  • NPI: 1629074190
  • Provider Name: PAUL ANDERS JACOBSON, M.D.
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • Address: 701 W FRONT ST
    SUITE 100
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 935-0800

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NPI Details

Paul Anders Jacobson, M.D. is a hand surgery orthopaedic surgery in Traverse City, MI. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Paul Anders Jacobson, M.D. NPI is 1629074190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 W FRONT ST
SUITE 100
TRAVERSE CITY, MI
ZIP 49684-236
Phone: (231) 935-0800
Fax: (231) 935-0808

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Injection into tendon or ligament (HCPCS:20550)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Cast supplies, short arm cast, adult (11 years +), fiberglass (HCPCS:Q4010)
  • X-ray of hand, 2 views (HCPCS:73120)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Removal of wrist bone (HCPCS:25210)

The enumeration date for this NPI number is 6/21/2005 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand Surgery4301076134MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10B81023OTHERMICHIGANBCBSM
24212842MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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