JEFFREY M JACOBSON (MD) – Infectious Disease Physician, NPI 1104808617

JEFFREY M JACOBSON (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Infectious Disease Physician. They hold the professional credentials MD. They hold a License No. MD429023 (PA). The NPI Number for JEFFREY M JACOBSON (MD) is 1104808617

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY M JACOBSON (MD)
NPI
1104808617
Phone
(215) 707-3807
Address
2450 W HUNTING PARK AVE
Enumeration Date
18 November 2005
Last Update Date
11 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
1977 (49 years ago)
PAC ID
6608840657
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20190719000834

Contacts

Secure Messaging
jeffreyjacobson@uhps.allscrptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JEFFREY M JACOBSON (MD)

  • 2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States

    PHILADELPHIA, PA 191291302

    Phone: (215) 707-3807

    Fax: (215) 707-4414

    Type: Mailing

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone:

    Type: Mailing

  • Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States

    PHILADELPHIA, PA 191405103

    Phone: (215) 707-3807

    Fax: (215) 707-4414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Gilead Sciences, Inc. ($70).

Total Amount

$113

General + Research + Ownership

Payments

5

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

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: 2019-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20061003000038IInfectious DiseasePATBD
I20190719000834IInfectious DiseaseOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3418$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 19129)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

Does JEFFREY M JACOBSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JEFFREY M JACOBSON (MD) uses 1104808617.
Can I rely on JEFFREY M JACOBSON (MD) being an active provider?
As of the registry snapshot, JEFFREY M JACOBSON (MD) is marked active.
What taxonomy line describes JEFFREY M JACOBSON (MD)?
For research purposes, treat JEFFREY M JACOBSON (MD) as Infectious Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JEFFREY M JACOBSON (MD)?
JEFFREY M JACOBSON (MD)'s geographic hint is Philadelphia, Pennsylvania in our summary view.
Why does JEFFREY M JACOBSON (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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