DR. DIANE JEAN JACOBI (M.D.) – Family Medicine Physician, NPI 1912983560

DR. DIANE JEAN JACOBI (M.D.) is a healthcare provider. based in Columbia, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 113579 (MO). The NPI Number for DR. DIANE JEAN JACOBI (M.D.) is 1912983560

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANE JEAN JACOBI (M.D.)
NPI
1912983560
Phone
(573) 884-6851
Address
7115 E Saint Charles Rd
Enumeration Date
15 December 2005
Last Update Date
28 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5738824141
Graduation Year
1993 (33 years ago)
PAC ID
0042217168
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20061103000082
Address ID
MO652120001CO1XXXXDRXX300

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
djacobi135757@direct-ehr-ssmhc.com
Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,330 FAMILY PRACTICE in MO

Provider Addresses for DR. DIANE JEAN JACOBI (M.D.)

  • 7115 E Saint Charles Rd

    Columbia, MO 652020196

    Phone: (573) 884-6851

    Fax: (573) 884-0293

    Type: Location

  • Medical Park Drive, Mexico, Audrain County, Missouri, 65265, United States

    SUITE 101

    MEXICO, MO 652653753

    Phone: (573) 581-8590

    Fax: (573) 473-3706

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2023-12-02 • Largest payer in this snapshot: Exact Sciences Corporation ($41).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061103000082IFamily PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes494249$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8888$0
99213Established patient office or other outpatient visit, 20-29 minutes5345$0
99215Established patient office or other outpatient visit, 40-54 minutes4741$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 65202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

What NPI should I save for DR. DIANE JEAN JACOBI (M.D.)?
Save NPI 1912983560 if you need a stable reference for DR. DIANE JEAN JACOBI (M.D.).
Is DR. DIANE JEAN JACOBI (M.D.) currently active in the NPI registry?
CMS-published data lists DR. DIANE JEAN JACOBI (M.D.) as an active registrant.
What does DR. DIANE JEAN JACOBI (M.D.) treat or focus on?
Patients typically see DR. DIANE JEAN JACOBI (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. DIANE JEAN JACOBI (M.D.) practice in Missouri?
You will see Columbia, Missouri on file for DR. DIANE JEAN JACOBI (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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