JEROME R JACOBSON M.D. NPI 1770590168

NPI Information

  • NPI: 1770590168
  • Provider Name: JEROME R JACOBSON, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6101 CRILL AVE
    PALATKA, FL
    ZIP 32177
  • Phone: (386) 326-1225

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NPI Details

Jerome R Jacobson, M.D. is a general practice in Palatka, FL with 36 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Jerome R Jacobson, M.D. NPI is 1770590168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

6101 CRILL AVE
PALATKA, FL
ZIP 32177-875
Phone: (386) 326-1225

The NPI 1770590168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Inhalation treatment for airway obstruction or sputum production (HCPCS:94640)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)
  • Injection, orphenadrine citrate, up to 60 mg (HCPCS:J2360)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood creatinine level (HCPCS:82565)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) (HCPCS:80051)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 8/1/2006 and was last updated on 10/22/2011.

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
1208D00000XGeneral PracticeME0059609FLORIDAYes

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
1370150600MEDICAIDFLORIDA
214942MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3F25698MEDICARE UPINFLORIDA

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: 3/30/2025

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