Individual provider Active NPI

Cris Martin Pacis Jacoba, MD

  • Ophthalmology Physician
  • West Springfield, MA
National Provider Identifier
1285258236
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1014967 Issued in MA
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

Updated by the provider on Jun 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420001078 MA Practitioner - Ophthalmology 2668837980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longwood Eye LLCGroup PAC ID 0143632802, 16 clinicians

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 100Reported as group
Quality
92.29
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1014967MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longwood Eye, LLC Ophthalmology CurrentSince Jun 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.