Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255330676 Individual Practitioner Male Practitioner

Dr. Edward Cornelious Jacobs , MD

Urology • Kettering, OH

Professional Overview & Biography Verified Profile Summary

Dr. Edward Jacobs, MD is a registered healthcare professional specializing in Urology in Kettering, OH. Practice services are available at 10 SOUTHMOOR CIR NW under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

10 Southmoor Cir Nw

Kettering, OH 454292486

Telephone 9372941489
Fax 9372976468
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Kettering, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.8 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Kettering, OH (564 Statewide)

Telehealth Adoption Rate
42.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
32 29 $332.00 $133.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
30 21 $117.00 $71.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 23 $257.00 $102.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes
25 15 $96.00 $38.52
74420 Imaging of urinary tract
16 15 $107.00 $23.98
52332 Insertion of stent in urinary duct (ureter) using an endoscope
13 11 $865.85 $127.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
12 12 $487.48 $197.60

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35073367

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Specialist

NUCC Taxonomy Code: 174400000X

State License CA G16625

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License ME 014971

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License MA 32702

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License OH 35-07-3367-J

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2033007 (OH)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1023597143

Doctor of Medicine (M.D.)

NPI 1215298104

Doctor of Medicine (M.D.), Master of Business Administration

NPI 1225223043

Doctor of Medicine (M.D.)

Emily Boucher , PA-C

Physician Assistant

NPI 1255933263

Physician Assistant (Certified)

Tiarah Todd , CNP

Nurse Practitioner - Family

NPI 1285147827

Certified Nurse Practitioner

Jessica Christman , APRN, CNP

Nurse Practitioner - Family

NPI 1336927508

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2015

Registered at 10 SOUTHMOOR CIR NW, KETTERING, OH 454292486 (Tel: 9372941489)

📍
Updated Business Mailing Address March 05, 2015

Registered at 1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 453423794 (Tel: 9377522305)

👤
Provider Name / Credentials Updated March 05, 2015

Recorded as EDWARD JACOBS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2015

Specialist (License #35-07-3367-J in OH)

🟢
Initial NPI Registration & Enumeration July 18, 2005

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: 1255330676
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2005
Last Update: March 05, 2015
Sole Proprietor: No

Mailing Address

1 Prestige Pl, Suite 550

Miamisburg, OH 453423794

Phone: 9377522305

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.