MATTHEW M JACOBS PA-C
NPI 1750422549
Physician Assistant - Surgical in Washington, DC

NPI Status: Active since February 12, 2007

Contact Information

110 IRVING ST NW
WASHINGTON, DC
ZIP 20010
Phone: (202) 877-5580

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  • Individual
  • Male
  • Years of Experience 20
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • CLIA Number: 21D0963607
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-02-2025

About MATTHEW JACOBS

This page provides the complete NPI Profile along with additional information for Matthew Jacobs, a provider established in Washington, District Of Columbia with a medical specialization in Physician Assistant, focusing in surgical and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1750422549 assigned on February 2007. The practitioner's primary taxonomy code is 363AS0400X with license number PA030447 (DC). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1750422549
Provider Name
MATTHEW M JACOBS PA-C
Gender
Male
Entity Type
Individual
Location Address
110 IRVING ST NW WASHINGTON, DC 20010
Location Phone
(202) 877-5580
Mailing Address
1010 PRIMROSE RD APT 303 ANNAPOLIS, MD 21403
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
02-12-2007
Last Update Date
07-08-2007
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA030447
License State
DC

Medicare Participation & PECOS Enrollment Status

Matthew Jacobs is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Matthew Jacobs 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

  • PECOS PAC ID: 2668563834

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071114000253

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0963607
Facility Type
Physician Office
Certificate Effective Date
August 03, 2023
Certificate Expiration Date
August 02, 2025
Laboratory Director
MATTHEW J. MALTA MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Matthew Jacobs in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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.
1750422549
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710082458
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 2 + 4 + 5 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1750422549 is valid because the calculated check digit 9 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
1578567012 AUTUMN C GRAHAM MD
Individual
Emergency Medicine110 IRVING ST NW
WASHINGTON, DC 20010
(202) 444-2116
1265422877 DONNA Y NORRIS ANP-C
Individual
Nurse Practitioner (Family)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1144210758 ALAN H OST MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1508856147 ANETTE VIRTA-PARAS MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1780674382 AI-HSI LIU MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1649260266 ARNOLD RAIZON MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1558351155 LYNN F HUANG MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1750371449 ROCCO A ARMONDA MD
Individual
Neurological Surgery110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1922098516 WILLIAM O BANK MD
Individual
Radiology (Neuroradiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1639169220 DAVID R BUCK MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1720078330 LEE H MONSEIN MD
Individual
Radiology (Neuroradiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1891785242 MICHAEL A SMITH MD
Individual
Radiology (Diagnostic Radiology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6429
1659361186 DHRUV KUMAR AGRAWAL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1902896434 KIRSTEN W ALCORN MD
Individual
Pathology (Blood Banking & Transfusion Medicine)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1316937857 THOMAS A GODWIN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1679563118 JAYASHREE KRISHNAN MD
Individual
Pathology (Hematology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1023008562 ERNEST E LACK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6190
1619967999 ELMO R ACIO MD
Individual
Nuclear Medicine110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6066
1437149713 CARLOS A GARCIA MD
Individual
Nuclear Medicine110 IRVING ST NW BB-43
WASHINGTON, DC 20010
(202) 877-6066
1518957893 DOUGLAS VANNOSTRAND MD
Individual
Nuclear Medicine110 IRVING ST NW
WASHINGTON, DC 20010
(202) 877-6066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750422549, enumerated in the NPI registry as an "individual" on February 12, 2007

The provider is located at 110 Irving St Nw Washington, Dc 20010 and the phone number is (202) 877-5580

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 20 years of experience.

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.

The provider's CLIA number is 21D0963607 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on February 12, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.