Active NPI 1588812820 Individual Practitioner Male Practitioner

Dr. Jeffrey Mica Jacobson , MD

Plastic Surgery • Hawthorne, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Jacobson, MD is a certified Plastic Surgery practicing in Hawthorne, NY. With approximately 21 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 2005, Dr. Jacobson delivers high-quality medical care to the local community at 19 BRADHURST AVE.

Dr. Jacobson does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, new 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

19 Bradhurst Ave
Suite 2900 S

Hawthorne, NY 10532

Telephone 9144210123

Fax 8883814542

Associated Practice Facility / Clinic

🏢 Nephrology Associates Of Westchester, Pc Facility NPI 1235138272

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

2005

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Hawthorne, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs Matches City Avg

City Avg: 21.0 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Hawthorne, NY (476 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobson (21 Years) 21 Yrs

Hawthorne Specialty Average (21.0 Years) 21.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	47	$475.00	$138.61
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	42	21	$25.00	$6.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$736.00	$181.54
20550 Injection into tendon or ligament	30	15	$646.00	$63.97
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$383.00	$98.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	59	$475.00	$141.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	65	32	$25.00	$6.22
20550 Injection into tendon or ligament	58	26	$646.00	$66.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$736.00	$185.43
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$383.00	$100.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	51	$478.43	$144.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$736.00	$192.13
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	36	20	$25.00	$6.36
99213 Established patient office or other outpatient visit, typically 15 minutes	35	26	$383.00	$103.15
20550 Injection into tendon or ligament	34	18	$646.00	$68.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$492.00	$129.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	70	$476.89	$148.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$736.00	$193.46
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	56	31	$21.57	$6.47
20550 Injection into tendon or ligament	46	26	$646.00	$65.78
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$383.00	$104.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	79	$331.51	$88.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	50	$464.54	$125.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	61	40	$20.84	$6.77
20550 Injection into tendon or ligament	60	35	$399.11	$66.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$456.59	$128.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$719.38	$190.70
20600 Aspiration and/or injection of fluid from small joint	14	12	$229.75	$59.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	289	149	$305.67	$85.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$451.85	$126.97
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	112	65	$24.34	$6.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	76	$445.70	$125.51
20550 Injection into tendon or ligament	90	52	$224.69	$63.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$679.06	$191.05
77002 Fluoroscopic guidance for needle placement	18	13	$422.05	$120.57
25609 Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device	17	15	$4597.74	$1226.39
64721 Release and/or relocation of hand nerve	17	14	$1888.21	$328.00
20600 Aspiration and/or injection of fluid from small joint	15	12	$205.04	$57.87
26055 Incision of tendon covering	15	14	$1358.82	$373.72
20680 Removal of deep implant from bone	13	11	$1841.00	$353.55
29130 Application of non-moveable, hinged finger splint	11	11	$176.10	$31.46
25290 Incision of tendon of forearm and/or wrist, open procedure	11	11	$1908.27	$277.43
20612 Aspiration and/or injection of cyst of tendon	11	11	$256.13	$72.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	104	$301.04	$84.69
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	105	58	$25.46	$7.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	76	$442.16	$122.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$452.14	$127.07
20550 Injection into tendon or ligament	83	45	$224.20	$63.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$681.46	$183.69
77002 Fluoroscopic guidance for needle placement	20	16	$399.21	$112.55
20600 Aspiration and/or injection of fluid from small joint	20	16	$202.47	$56.98
26055 Incision of tendon covering	15	15	$1355.73	$381.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	96	$282.87	$84.72
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	113	64	$19.25	$6.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$438.94	$127.06
20550 Injection into tendon or ligament	101	56	$222.44	$62.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	61	$415.85	$124.08
76000 Imaging guidance for procedure, 60 minutes or less	75	51	$200.55	$46.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$627.25	$188.59
64721 Release and/or relocation of hand nerve	20	15	$2111.94	$276.74
26055 Incision of tendon covering	20	15	$1369.95	$332.56
15740 Creation of skin and tissue graft	19	14	$3501.81	$1042.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$177.15	$51.10

Medical Specialties & State Licenses

CMS Verified: 2025-05-13

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 264192

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License NY 264192

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Cordelia Sharma , MD

Internal Medicine - Critical Care Medicine

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Doctor of Medicine (M.D.)

Dr. Amy Wasserman , MD

Internal Medicine - Rheumatology

NPI 1003056268

Doctor of Medicine (M.D.)

Gifty Adjei-Dugbatey , FNP

Nurse Practitioner - Primary Care

NPI 1003635095

Family Nurse Practitioner

Dr. Karim Solangi , MD

Internal Medicine - Nephrology

NPI 1003816851

Doctor of Medicine (M.D.)

Dr. Carmelo Puccio , MD

Internal Medicine - Medical Oncology

NPI 1023070976

Doctor of Medicine (M.D.)

Dr. Joseph Vozzolo , MD

Internal Medicine - Cardiovascular Disease

NPI 1023314895

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location May 13, 2025

Registered at 19 BRADHURST AVE, SUITE 2900 S, HAWTHORNE, NY 10532 (Tel: 9144210123)

📍

Updated Business Mailing Address May 13, 2025

Registered at 107 N GREELEY AVE # 84, CHAPPAQUA, NY 10514 (Tel: 9144210123)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2025

Plastic Surgery (License #264192 in NY)

📍

Updated Practice Location May 20, 2022

Registered at 19 BRADHURST AVE, SUITE #2400 N, HAWTHORNE, NY 10532 (Tel: 9144210123)

📍

Updated Practice Location August 20, 2020

Registered at 755 NORTH BROADWAY, SUITE 540, SLEEPY HOLLOW, NY 105911059 (Tel: 9144210123)

📍

Updated Business Mailing Address August 20, 2020

Registered at 41 PURDY AVE UNIT 127, RYE, NY 105807510 (Tel: 9144210123)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2020

Plastic Surgery (License #264192 in NY)

📍

Updated Business Mailing Address April 22, 2019

Registered at 2345 BOSTON POST RD, LARCHMONT, NY 105383556 (Tel: 9144210123)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2019

Plastic Surgery (License #264192 in NY)

📍

Updated Practice Location April 02, 2019

Registered at 2345 BOSTON POST RD, LARCHMONT, NY 105383556 (Tel: 9144210123)

✅

NPI Profile Active June 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2013

Registered at 440 MAMARONECK AVE, SUITE 412, HARRISON, NY 105282418 (Tel: 9147618667)

📍

Updated Business Mailing Address June 28, 2013

Registered at 190 GOLDENS BRIDGE RD, KATONAH, NY 105362810 (Tel: 9144018053)

👤

Provider Name / Credentials Updated June 28, 2013

Recorded as JEFFREY JACOBSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2013

Plastic Surgery (License #264192 in NY)

🟢

Initial NPI Registration & Enumeration August 28, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588812820

Entity Type:

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

Enumeration Date: August 28, 2008

Last Update: May 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

107 N Greeley Ave # 84

Chappaqua, NY 10514

Phone: 9144210123

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.