Jacob E Perry, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

44487 Issued in KY

Practice address

425 Clinic Dr
Morehead, KY 40351-1077

Phone

(606) 784-7551

Fax

(606) 784-1184

NPI assigned

Oct 7, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Louisiana State University School of Medicine in New Orleans, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Merit-based Incentive Payment System (MIPS)

Final score

73.64 of 100Reported as group

Quality

56.63

Improvement activities

40

Cost

74.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St Claire Medical Center Inc

  • Rehabilitation Hospital Unit
  • Morehead, KY
  • NPI 1780692269

  Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Claire Medical Center, Inc.,

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535
  Medicare reassignment Care Compare group NPD
• St Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1477236487
  NPD
• St Claire Medical Center, Inc

  • Surgery Physician
  • Morehead, KY
  • NPI 1558383885
  NPD
• St Claire Medical Center Inc

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1124078696
  NPD (past)
• Sprocket Medical Management LLC

  • General Practice Physician
  • Hobbs, NM
  • NPI 1801859319
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Claire Medical Center Inc

  • Surgery Physician
  • Morehead, KY
  • NPI 1053465666

  Hospital

  Care Compare affiliation
• St Claire Medical Center Inc

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1124078696
  Care Compare affiliation
• St Claire Medical Center, Inc

  • Clinic/Center
  • Morehead, KY
  • NPI 1689012775

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1063663284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CLINIC DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511077",
            "telephone_number": "606-784-7551",
            "fax_number": "606-784-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CLINIC DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511077",
            "telephone_number": "606-784-7551",
            "fax_number": "606-784-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JACOB",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "44487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100164220",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "44487",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melea J Peloquin
• Jonathan Perdue, PHARMD
• Dennie Perkins
• Alisha A Perry, PA
• Amy Terice Perry, ARNP
• James H Perry, ARNP, BSN, MSN
• Julia B Perry, CRNA
• Shelia Perry
• Charles Matthew Pesson, MD
• Mary S Phillips, M.D.

• Surgery Physician in Morehead, KY
• Providers in Morehead, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.