Deactivated NPI 1679500813 Deactivated / Inactive NPI Male Practitioner

Dr. Timothy Douglas Jacob , MD

Surgery • Pittsburgh, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Timothy Jacob has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 26, 2006

NPI Deactivation Date April 17, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Jacob, MD was a registered Surgery practicing in Pittsburgh, PA. Throughout an active medical career spanning 20 years, Dr. Jacob provided care at the practice location at 9104 BABCOCK BLVD until profile deactivation on 2026-04-17.

Historical Medicare Part B clinical services included follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

9104 Babcock Blvd
Suite 3111

Pittsburgh, PA 15237

Telephone 4123645490

Fax 4123645493

Associated Practice Facility / Clinic

🏢 Tri Rivers Surgical Associates, Inc Facility NPI 1588667679

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pittsburgh, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

208 Specialists

Practicing in Pittsburgh, PA (1976 Statewide)

Telehealth Adoption Rate

14.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.4% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	20	$70.00	$36.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	20	$93.00	$69.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$131.00	$108.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$172.00	$131.24
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$86.00	$85.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$151.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	36	$93.00	$70.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	94	31	$70.00	$37.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	52	$172.00	$132.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$131.00	$109.95
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$86.00	$86.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$200.00	$164.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$130.00	$127.03
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$125.00	$98.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	38	$93.00	$71.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	29	$70.00	$39.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	55	$172.00	$136.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$131.00	$105.80
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$86.00	$73.46
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$125.00	$101.15
49650 Repair of groin hernia using an endoscope	14	14	$1937.14	$585.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	43	$93.00	$71.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	43	$70.00	$36.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	46	$172.00	$134.85
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$86.00	$70.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$131.00	$105.21
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$125.00	$100.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$252.00	$199.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$130.00	$97.47
47562 Removal of gallbladder using an endoscope	11	11	$1910.00	$635.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	41	$93.00	$67.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	43	$70.00	$36.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	51	$172.00	$127.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$131.00	$99.19
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$125.00	$94.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$54.00	$39.12
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$86.00	$66.79
47562 Removal of gallbladder using an endoscope	16	16	$1941.25	$598.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$200.00	$140.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	35	$93.00	$67.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	116	35	$70.00	$36.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	49	$172.00	$127.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$131.00	$97.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$200.00	$151.50
47562 Removal of gallbladder using an endoscope	19	19	$1910.00	$629.23
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$125.00	$94.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$54.00	$39.71
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$86.00	$67.01

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD042446L

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Amy Schuler , PA-C

Physician Assistant

NPI 1497089619

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

⚠️

NPI Profile Deactivated April 17, 2026

Record deactivated on April 17, 2026

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Updated Practice Location December 21, 2021

Registered at 8199 MCKNIGHT RD STE 102, PITTSBURGH, PA 152375749 (Tel: 4123645490)

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Updated Business Mailing Address December 21, 2021

Registered at 8199 MCKNIGHT RD STE 102, PITTSBURGH, PA 152375749 (Tel: 4123645490)

✅

NPI Profile Active December 16, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2015

Registered at 9104 BABCOCK BLVD, SUITE 3111, PITTSBURGH, PA 15237 (Tel: 4123645490)

📍

Updated Business Mailing Address December 16, 2015

Registered at 9104 BABCOCK BLVD, SUITE 3111, PITTSBURGH, PA 15237 (Tel: 4123645490)

👤

Provider Name / Credentials Updated December 16, 2015

Recorded as TIMOTHY JACOB, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2015

Surgery (License #MD042446L in PA)

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Initial NPI Registration & Enumeration June 26, 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: 1679500813

Entity Type:

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

Enumeration Date: June 26, 2006

Last Update: December 16, 2015

Deactivation Date: April 17, 2026

Update or Correct Profile

Mailing Address

9104 Babcock Blvd, Suite 3111

Pittsburgh, PA 15237

Phone: 4123645490

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.