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
- 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
- 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
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. | |||||||||
1 | 7 | 5 | 0 | 4 | 2 | 2 | 5 | 4 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 8 | 2 | 4 | 5 | 8 | |
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 = 9 | 9 |
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 Medicine | 110 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 Surgery | 110 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 Medicine | 110 IRVING ST NW WASHINGTON, DC 20010 (202) 877-6066 |
1437149713 | CARLOS A GARCIA MD Individual | Nuclear Medicine | 110 IRVING ST NW BB-43 WASHINGTON, DC 20010 (202) 877-6066 |
1518957893 | DOUGLAS VANNOSTRAND MD Individual | Nuclear Medicine | 110 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].
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