BENJAMIN CLARK JACOBS MD NPI 1982846119

NPI Details

Benjamin Clark Jacobs, MD is a diagnostic radiology radiology in Provo, UT with 17 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Benjamin Clark Jacobs, MD NPI is 1982846119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1055 N 500 W
STE 112
PROVO, UT
ZIP 84604-305
Phone: (801) 812-4624
Fax: (801) 812-4699

The NPI 1982846119 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.

• Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
• Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Screening 3d breast mammography (HCPCS:77063)
• Screening mammography (HCPCS:77067)
• Ct scan of chest with contrast (HCPCS:71260)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• X-ray of chest, 1 view (HCPCS:71045)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Ct scan of leg without contrast (HCPCS:73700)
• X-ray of chest, 2 views (HCPCS:71046)
• Mri scan of leg joint without contrast (HCPCS:73721)
• Mri scan of arm joint without contrast (HCPCS:73221)
• Ct scan of chest without contrast (HCPCS:71250)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Blood creatinine level (HCPCS:82565)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Ct scan head or brain without contrast (HCPCS:70450)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• X-ray of knee, 3 views (HCPCS:73562)
• Ct scan head or brain without contrast (HCPCS:70450)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
• Ct scan of face without contrast (HCPCS:70486)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Ct scan of arm without contrast (HCPCS:73200)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 4/2/2009 and was last updated on 3/25/2025.

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: