Active NPI 1417975905 Individual Practitioner Male Practitioner

Dr. Randolph J Jacobs , MD

Dermatology • Wildomar, CA

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Randolph Jacobs, MD is a registered Dermatology practitioner in Wildomar, CA. With approximately 40 years of clinical practice since completing medical education in 1986, Dr. Jacobs provides healthcare services at the registered practice location at 23905 CLINTON KEITH RD STE 114.

Dr. Jacobs accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

23905 Clinton Keith Rd Ste 114

Wildomar, CA 925957899

Telephone 9516727673

Associated Practice Facility / Clinic

🏢 Randy Jacobs Dermatology Inc. Facility NPI 1699872630

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Wildomar, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs Matches City Avg

City Avg: 40.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Wildomar, CA (2182 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobs (40 Years) 40 Yrs

Wildomar Specialty Average (40.0 Years) 40.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	834	173	$50.00	$6.62
17000 Destruction of skin growth	277	201	$105.00	$51.91
99213 Established patient office or other outpatient visit, typically 15 minutes	250	190	$125.00	$88.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	229	171	$95.00	$55.42
11102 Tangential biopsy of single skin lesion	162	139	$150.00	$88.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$150.00	$108.43
17110 Destruction of up to 14 skin growths	89	80	$165.00	$113.28
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$125.00	$71.12
11103 Biopsy of related skin growth, each additional growth	72	38	$100.00	$50.06
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	46	39	$1025.00	$535.50
11104 Punch biopsy, first skin growth	21	21	$175.00	$122.29
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	17	$525.00	$256.34
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	17	$480.00	$234.98
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	17	16	$500.00	$401.89
10060 Simple or single drainage of skin abscess	15	15	$170.00	$126.59
69100 Biopsy of ear	12	11	$150.00	$55.59
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$225.00	$161.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	991	173	$50.00	$6.76
17000 Destruction of skin growth	290	224	$105.00	$51.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	248	182	$95.00	$55.73
99213 Established patient office or other outpatient visit, typically 15 minutes	229	177	$125.00	$88.88
11102 Tangential biopsy of single skin lesion	160	144	$150.00	$89.13
17110 Destruction of up to 14 skin growths	139	122	$165.00	$108.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$150.00	$110.32
99202 New patient office or other outpatient visit, typically 20 minutes	85	85	$125.00	$71.51
11103 Biopsy of related skin growth, each additional growth	81	47	$100.00	$50.74
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	58	44	$1025.00	$492.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	11	$45.00	$1.00
11104 Punch biopsy, first skin growth	29	29	$175.00	$127.82
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	26	22	$525.00	$245.35
17004 Destruction of precancer skin growth, 15 or more growths	24	22	$225.00	$170.30
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	18	$225.00	$171.99
10060 Simple or single drainage of skin abscess	20	20	$170.00	$125.97
11200 Removal of skin tag, 1-15 skin tags	19	19	$140.00	$55.80
69100 Biopsy of ear	15	13	$150.00	$74.76
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	14	11	$525.00	$414.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$150.00	$126.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	960	172	$50.00	$6.88
17000 Destruction of skin growth	277	215	$105.00	$53.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	187	159	$95.00	$56.46
99213 Established patient office or other outpatient visit, typically 15 minutes	180	138	$125.00	$89.92
11102 Tangential biopsy of single skin lesion	129	118	$150.00	$88.87
17110 Destruction of up to 14 skin growths	103	95	$165.00	$113.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$150.00	$110.31
11103 Biopsy of related skin growth, each additional growth	65	36	$100.00	$52.08
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$125.00	$72.69
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	40	30	$1025.00	$466.07
11104 Punch biopsy, first skin growth	18	18	$175.00	$130.05
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	15	$225.00	$164.21
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	13	$525.00	$290.45
17004 Destruction of precancer skin growth, 15 or more growths	12	11	$225.00	$171.05
11200 Removal of skin tag, 1-15 skin tags	12	12	$140.00	$65.02
10060 Simple or single drainage of skin abscess	11	11	$170.00	$126.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,078	183	$50.00	$6.68
17000 Destruction of skin growth	319	237	$105.00	$51.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	276	203	$95.00	$56.16
99213 Established patient office or other outpatient visit, typically 15 minutes	233	185	$125.00	$91.44
11102 Tangential biopsy of single skin lesion	183	149	$150.00	$88.70
17110 Destruction of up to 14 skin growths	140	119	$165.00	$110.17
11103 Biopsy of related skin growth, each additional growth	99	40	$100.00	$54.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$150.00	$110.66
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$125.00	$73.63
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	38	30	$1025.00	$454.91
11104 Punch biopsy, first skin growth	24	24	$175.00	$128.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	12	$45.00	$1.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	19	$225.00	$173.69
11900 Injection into skin growth, 1-7 growths	18	13	$90.00	$48.04
10060 Simple or single drainage of skin abscess	15	13	$170.00	$126.21
11200 Removal of skin tag, 1-15 skin tags	14	13	$140.00	$46.27
69100 Biopsy of ear	13	12	$150.00	$82.20
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	11	$525.00	$245.67
17004 Destruction of precancer skin growth, 15 or more growths	12	11	$225.00	$169.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	974	169	$50.00	$6.15
17000 Destruction of skin growth	282	207	$105.00	$52.94
99213 Established patient office or other outpatient visit, typically 15 minutes	261	204	$125.00	$74.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	165	127	$95.18	$46.03
11102 Tangential biopsy of single skin lesion	155	129	$150.00	$84.66
99202 New patient office or other outpatient visit, typically 20 minutes	130	130	$125.00	$76.61
17110 Destruction of up to 14 skin growths	103	88	$165.00	$109.20
11103 Biopsy of related skin growth, each additional growth	91	38	$100.00	$54.87
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	60	43	$1025.00	$489.38
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	26	23	$525.00	$264.44
11104 Punch biopsy, first skin growth	23	22	$175.00	$122.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	14	$225.00	$149.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$150.00	$108.85
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	15	12	$525.00	$410.49
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	15	$480.00	$265.48
10060 Simple or single drainage of skin abscess	12	11	$170.00	$118.79
69100 Biopsy of ear	12	12	$150.00	$71.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,083	211	$50.00	$5.60
17000 Destruction of skin growth	364	273	$105.00	$51.50
99213 Established patient office or other outpatient visit, typically 15 minutes	265	206	$125.00	$73.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	227	169	$95.00	$44.58
11102 Tangential biopsy of single skin lesion	216	193	$150.00	$83.78
99202 New patient office or other outpatient visit, typically 20 minutes	185	185	$125.00	$75.49
17110 Destruction of up to 14 skin growths	110	93	$165.00	$105.76
11103 Biopsy of related skin growth, each additional growth	87	49	$100.00	$53.02
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	80	58	$1025.00	$495.55
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	38	36	$525.00	$258.14
17004 Destruction of precancer skin growth, 15 or more growths	26	20	$225.00	$146.63
11900 Injection into skin growth, 1-7 growths	24	13	$90.00	$47.35
11104 Punch biopsy, first skin growth	24	24	$175.00	$122.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	19	$225.00	$152.24
11200 Removal of skin tag, 1-15 skin tags	19	18	$140.00	$74.50
10060 Simple or single drainage of skin abscess	18	18	$170.00	$112.75
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	12	$830.00	$714.96
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	14	13	$525.00	$396.48
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	12	$250.00	$169.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$150.00	$106.63
69100 Biopsy of ear	12	12	$150.00	$82.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,212	243	$19.77	$5.22
99213 Established patient office or other outpatient visit, typically 15 minutes	433	294	$105.43	$71.29
17000 Destruction of skin growth	402	295	$105.00	$53.58
11100 Biopsy of single growth of skin and/or tissue	238	197	$150.00	$91.69
99202 New patient office or other outpatient visit, typically 20 minutes	191	191	$125.00	$73.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	93	$79.91	$43.54
11101 Biopsy of each additional growth of skin and/or tissue	104	57	$65.00	$30.32
17110 Destruction of up to 14 skin growths	88	79	$153.75	$107.78
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	52	45	$1025.00	$568.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	15	$45.00	$1.78
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	27	24	$580.56	$253.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	22	$207.69	$151.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$150.00	$106.09
69100 Biopsy of ear	16	14	$150.00	$72.79
11900 Injection into skin growth, 1-7 growths	16	14	$90.00	$43.85
17004 Destruction of precancer skin growth, 15 or more growths	15	14	$225.00	$143.64
10060 Simple or single drainage of skin abscess	13	13	$143.08	$118.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,258	232	$10.00	$5.57
99213 Established patient office or other outpatient visit, typically 15 minutes	424	282	$100.00	$71.62
17000 Destruction of skin growth	403	283	$105.00	$53.03
11100 Biopsy of single growth of skin and/or tissue	239	212	$150.00	$89.70
99202 New patient office or other outpatient visit, typically 20 minutes	154	154	$125.00	$73.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	80	$75.00	$43.15
11101 Biopsy of each additional growth of skin and/or tissue	88	46	$65.00	$31.68
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	74	61	$1025.00	$519.10
17110 Destruction of up to 14 skin growths	73	67	$150.00	$104.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$150.00	$105.78
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	36	21	$200.00	$127.52
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	34	34	$600.00	$262.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	14	$45.00	$1.76
17004 Destruction of precancer skin growth, 15 or more growths	19	16	$225.00	$148.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$150.00	$105.66
11200 Removal of skin tag, 1-15 skin tags	19	19	$115.00	$59.99
11900 Injection into skin growth, 1-7 growths	18	13	$90.00	$41.53
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	18	17	$525.00	$385.95
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	17	15	$225.00	$155.55
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	16	$425.00	$239.00
69100 Biopsy of ear	16	15	$150.00	$81.75
10060 Simple or single drainage of skin abscess	15	14	$135.00	$116.74
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	14	13	$425.00	$376.32
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$100.00	$43.51

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA G61654

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Clinical & Laboratory Dermatological Immunology

NUCC Taxonomy Code: 207NI0002X

State License CA G61654

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License CA G61654

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License CA G61654

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - Pediatric Dermatology

NUCC Taxonomy Code: 207NP0225X

State License CA G61654

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Charity Yoon

Physician Assistant

NPI 1073842183

Eleni Litras , PA-C

Physician Assistant

NPI 1558763953

Physician Assistant (Certified)

Donna Hastert , PA-C

Physician Assistant

NPI 1932204351

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 12, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2008

Registered at 23905 CLINTON KEITH RD STE 114, WILDOMAR, CA 925957899 (Tel: 9516727673)

📍

Updated Business Mailing Address March 12, 2008

Registered at 23905 CLINTON KEITH RD STE 114, WILDOMAR, CA 925957899 (Tel: 9516727673)

👤

Provider Name / Credentials Updated March 12, 2008

Recorded as RANDOLPH JACOBS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2008

Dermatology (License #G61654 in CA)

🟢

Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417975905

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 17, 2006

Last Update: March 12, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

23905 Clinton Keith Rd Ste 114

Wildomar, CA 925957899

Phone: 9516727673

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.