Active NPI
Cris Martin Pacis Jacoba, MD
- Ophthalmology Physician
- West Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1014967
- Practice address
- 180 Daggett Dr
West Springfield, MA 01089-4667 - Phone
- (413) 452-4111
- NPI assigned
- Jun 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 1014967 | MA | Primary |
Addresses
Primary practice location
180 Daggett Dr
West Springfield, MA 01089-4667
Mailing address
8495 Aries Rd
San Diego, CA 92126-1811
Phone (858) 322-7073
Other practice location 1
1 Joslin Pl
Boston, MA 02215-5306
Phone (617) 309-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Daggett Dr
West Springfield, MA 01089-4667
Phone (413) 452-4111
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.01 of 100
- Quality
- 92.29
- Improvement activities
- 40
- Cost
- 73.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 131 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1014967 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longwood Eye, LLC | Ophthalmology | Current | Accepting new patients |
Locations
33 Riddell St
Ste 2
Greenfield, MA 01301
Phone (413) 286-2020
33 Riddell St
Greenfield, MA 01301
Phone (413) 772-0853
180 Daggett Dr
West Springfield, MA 01089
Phone (413) 286-2020
Interoperability endpoints
- cjacoba@longwood.intellechartdirect.net
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- West Springfield, MA
- NPI 1649875964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686441600000",
"number": "1285258236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8495 ARIES RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921261811",
"telephone_number": "858-322-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 DAGGETT DR",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894667",
"telephone_number": "413-452-4111"
}
],
"practiceLocations": [
{
"address_1": "1 Joslin Pl",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155306",
"country_code": "US",
"telephone_number": "617-309-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBA",
"first_name": "CRIS MARTIN",
"middle_name": "PACIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-05",
"last_updated": "2023-06-11",
"certification_date": "2023-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "1014967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.