IAN M JACOBSON MD
NPI 1013057900
Emergency Medicine in Providence, RI
NPI Status: Active since February 08, 2007
Contact Information
825 CHALKSTONE AVE
PROVIDENCE, RI
ZIP 02908
Phone: (330) 493-4443
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
About IAN JACOBSON
This page provides the complete NPI Profile along with additional information for Ian Jacobson, a provider established in Providence, Rhode Island with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1013057900 assigned on February 2007. The practitioner's primary taxonomy code is 207P00000X with license number MD08888 (RI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1013057900
- Provider Name
- IAN M JACOBSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 825 CHALKSTONE AVE PROVIDENCE, RI 02908
- Location Phone
- (330) 493-4443
- Mailing Address
- 4535 DRESSLER RD NW CANTON, OH 44718
- Mailing Phone
- (330) 493-4443
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-08-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD08888
- License State
- RI
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7004811 | MEDICAID (05) | RI | |
| E64424 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Ian Jacobson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02908 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.48
- Minimum New Patient Price $58.57
- Maximum New Patient Price $177.03
- Average New Patient Copayment $22.62
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.25
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.1
- Minimum Established Patient Price $18.92
- Maximum Established Patient Price $144.38
- Average Established Patient Copayment $25.77
- Minimum Established Patient Copayment $4.73
- Maximum Established Patient Copayment $36.09
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 5 | 7 | 9 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 5 | 14 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 5 + 1 + 4 + 9 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1013057900 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467459263 | RITESH RATHORE MD Individual | Internal Medicine (Hematology & Oncology) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2077 |
| 1962409714 | TIMOTHY W BURNAP PA Individual | Physician Assistant (Surgical) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2000 |
| 1598762346 | PUNEET SUD MD Individual | Specialist | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2363 |
| 1689668709 | THOMAS F ALLEN MSW,LICSW Individual | Social Worker (Clinical) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2363 |
| 1750363974 | COURTNEY C BRASWELL R.D.L.D. Individual | Nutritionist | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2277 |
| 1285617845 | DR. BRIAN F STAINKEN M.D. Individual | Radiology (Vascular & Interventional Radiology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER - IMAGING NETWORK OF RI PROVIDENCE, RI 02908 (401) 456-2204 |
| 1689657249 | IMAGING NETWORK OF RHODE ISLAND, INC. Organization | Radiology (Diagnostic Radiology) | 825 CHALKSTONE AVE ROGERS WILLIAMS MEDICAL CENTER PROVIDENCE, RI 02908 (401) 456-2204 |
| 1447221866 | ALEX ETIENNE MD Individual | Internal Medicine (Addiction Medicine) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2363 |
| 1154373223 | KERRI L LANNI P.A. Individual | Physician Assistant | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2309 |
| 1821043795 | BHARTI RATHORE MD Individual | Internal Medicine (Hematology & Oncology) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2077 |
| 1215974365 | ROGER WILLIAMS HOSPITAL Organization | Specialist | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2677 |
| 1114965795 | KAREN L COLANNINO RD LDN Individual | Nutritionist | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2504 |
| 1194764019 | EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC Organization | Emergency Medicine | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (330) 493-4443 |
| 1316988363 | PETER A OLIVIERI LMFT Individual | Counselor (Addiction (Substance Use Disorder)) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2311 |
| 1619980299 | ROBERT LEV M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT PROVIDENCE, RI 02908 (401) 456-2162 |
| 1023021623 | N PETER LIBBEY M.D. Individual | Pathology (Anatomic Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT. PROVIDENCE, RI 02908 (401) 456-2162 |
| 1730192493 | RICHARD M. DAUPHINAIS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT PROVIDENCE, RI 02908 (401) 456-2162 |
| 1124031802 | JILA KHORSAND M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT PROVIDENCE, RI 02908 (401) 456-2162 |
| 1205942562 | CATHERINE BREEN M.D. Individual | Pathology (Dermatopathology) | 825 CHALKSTONE AVE PATHOLOGY DEPARTMENT PROVIDENCE, RI 02908 (401) 456-2162 |
| 1245346337 | AZNIF CALIKYAN M.D. Individual | Anesthesiology | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2666 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013057900, enumerated in the NPI registry as an "individual" on February 08, 2007
The provider is located at 825 Chalkstone Ave Providence, Ri 02908 and the phone number is (330) 493-4443
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.48 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $103.1 and an average copayment of 25.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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