JOSHUA M JACOBSON (DO) – Emergency Medicine Physician, NPI 1427474964

JOSHUA M JACOBSON (DO) is a healthcare provider. based in Eaton, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 05-50386 (KS). The NPI Number for JOSHUA M JACOBSON (DO) is 1427474964

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA M JACOBSON (DO)
NPI
1427474964
Phone
(937) 456-8376
Address
450 Washington Jackson Rd Ste F
Enumeration Date
7 March 2014
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4196782341
Graduation Year
2014 (12 years ago)
PAC ID
5092004929
Group Practice PAC ID
8820081755
Professional Enrollment ID
I20200121000838
Address ID
OH458281613CO800XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:12State licenses:4Digital endpointsOther names

2,674 EMERGENCY MEDICINE in OH

Provider Addresses for JOSHUA M JACOBSON (DO)

  • 450 Washington Jackson Rd Ste F

    Eaton, OH 453208699

    Phone: (937) 456-8376

    Type: Location

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • 1997 Miamisburg Centerville Rd

    Centerville, OH 454593811

    Phone: (937) 401-6228

    Type: Location

  • 405 W Grand Ave

    Dayton, OH 454057538

    Phone: (937) 723-3211

    Type: Location

  • 9040 FITZSIMMONS DR

    JOINT BASE LEWIS MCCHORD, WA 984311000

    Phone: (253) 968-2997

    Type: Mailing

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Type: Location

  • 6147 State Route 122

    Middletown, OH 450055201

    Phone: (513) 261-3410

    Type: Location

  • 100 Kettering Way

    Franklin, OH 450051155

    Phone: (937) 458-4700

    Type: Location

  • 601 State Route 664 N

    Logan, OH 431388541

    Phone: (740) 380-8000

    Type: Location

  • 1100 N Kentucky Ave

    West Plains, MO 657752029

    Phone: (417) 505-7836

    Type: Location

  • 911 Bypass Rd Bldg A

    Pikeville, KY 415011602

    Phone: (606) 430-3500

    Fax: (606) 437-0595

    Type: Location

  • 9040 Fitzsimmons Dr

    Joint Base Lewis McChord, WA 984312722

    Phone: (253) 968-2997

    Type: Location

  • 1 Wyoming St

    Dayton, OH 454092722

    Phone: (937) 208-3356

    Type: Location

  • 1 WYOMING ST

    DAYTON, OH 454092722

    Phone:

    Type: Mailing

  • 9040 JACKSON AVE

    TACOMA, WA 984312722

    Phone: (253) 968-1110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20200121000838IEmergency MedicineOHTBD
I20231014000333IEmergency MedicineMOTBD
I20240529001963IEmergency MedicineKYTBD
I20250102001908IEmergency MedicineKSTBD

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
99285Emergency department visit with high level of medical decision making6262$0
99284Emergency department visit with moderate level of medical decision making3333$0
View full utilization report →

Insurance plans in this area (ZIP 45320)

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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: 8820081755View full group profile
NameSpecialtyState
Emergency MedicineOH
Nurse PractitionerOH
General SurgeryAZ
Emergency MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Internal MedicineOH
-OH
Emergency MedicineOH

Reviews

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Frequently asked questions

What is the registry number for JOSHUA M JACOBSON (DO)?
The registry entry for JOSHUA M JACOBSON (DO) shows NPI 1427474964.
Is JOSHUA M JACOBSON (DO)'s NPI status active today?
Active status means JOSHUA M JACOBSON (DO)'s NPI record is not deactivated in the public file.
What services align with JOSHUA M JACOBSON (DO)'s listing?
JOSHUA M JACOBSON (DO)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JOSHUA M JACOBSON (DO)?
The directory associates JOSHUA M JACOBSON (DO) with Eaton, Ohio. Check all listed addresses for suites or satellite offices.
Can I export JOSHUA M JACOBSON (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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