Norman M Jacobs, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35050302 Issued in OH

Practice address

1805 27TH St
Somc
Portsmouth, OH 45662

Phone

(740) 356-8117

Fax

(740) 353-1214

NPI assigned

Jul 22, 2005

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, KY, GU, TX, WV5 enrollments

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 5

Specialty

Diagnostic Radiology

Education

Temple University School of Medicine, 1978

Medicare assignment

May accept Medicare assignment

Group practices

Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Arh Tug Valley Health Services, Inc.Group PAC ID 4183953805, 108 clinicians

Arh Mary Breckinridge Health Services, Inc.Group PAC ID 8123293818, 87 clinicians

T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Norton Clark Physician Practices LLCGroup PAC ID 0840504114, 49 clinicians

Premier Imaging and Intervention PLLCGroup PAC ID 4587562335, 23 clinicians

Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians

Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians

Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Infinity Teleradiology LLCGroup PAC ID 9830630854, 30 clinicians

Montgomery General Hospital, IncGroup PAC ID 6204735269, 37 clinicians

Idoc Telehealth Solutions, IncGroup PAC ID 4587967534, 23 clinicians

Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
• Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
• Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
• Highlands Arh Regional Medical Center Hospital, Prestonsburg, KY, CCN 180005
• Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062

Merit-based Incentive Payment System (MIPS)

Final score

86.3 of 100Reported as group

Quality

74.59

Promoting interoperability

100

Improvement activities

40

Cost

68.87

Merit-based Incentive Payment System (MIPS)

Final score

81.08 of 100Reported as group

Quality

62.15

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

91.68

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.81 of 100Reported as group

Quality

83.57

Improvement activities

40

Cost

76.16

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.22 of 100Reported as group

Quality

78.84

Improvement activities

40

Cost

61.61

Merit-based Incentive Payment System (MIPS)

Final score

96.47 of 100Reported as group

Quality

85.04

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

Networks

• Freedom Health HMO Network

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

• Infinity Teleradiology LLC

  • Diagnostic Radiology Physician
  • Chagrin Falls, OH
  • NPI 1235752981

  KY

  Medicare reassignment Care Compare group NPD
• Riverside Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1093718496
  Medicare reassignment Care Compare group NPD
• Somc Medical Care Foundation, Inc.

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1457467227

  KY

  Medicare reassignment Care Compare group NPD
• Appalachian Regional Healthcare, Inc.

  dba ARH Morgan County Clinic

  • Anatomic Pathology & Clinical Pathology Physician
  • West Liberty, KY
  • NPI 1962520312

  Diagnostic Radiology, OH

  Medicare reassignment Care Compare group NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba Mary Breckinridge ARH Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Hyden, KY
  • NPI 1962040758

  Diagnostic Radiology, OH

  Medicare reassignment Care Compare group NPD
• Arh Tug Valley Health Services, Inc.

  dba Highlands ARH Regional Medical Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Prestonsburg, KY
  • NPI 1992367569

  Diagnostic Radiology, OH

  Medicare reassignment Care Compare group NPD
• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment Care Compare group NPD
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment Care Compare group NPD
• Idoc Telehealth Solutions, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1851783534
  Medicare reassignment Care Compare group NPD
• Montgomery General Hospital, Inc

  • Critical Access Hospital
  • Montgomery, WV
  • NPI 1619913647
  Medicare reassignment Care Compare group NPD
• Norton Clark Physician Practices, LLC

  • Internal Medicine Physician
  • Clarksville, IN
  • NPI 1083098651

  OH

  Medicare reassignment Care Compare group NPD
• Premier Imaging and Intervention, PLLC

  • Diagnostic Radiology Physician
  • Ripley, WV
  • NPI 1285633370

  OH

  Medicare reassignment Care Compare group NPD

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

• Western Reserve Hospital, LLC

  • General Acute Care Hospital
  • Cuyahoga Falls, OH
  • NPI 1518104199
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc

  dba ARH Southern West Virginia Clinic

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc

  dba Beckley ARH Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1568461440
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Arh Hazard Family Health Services

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Hazard ARH Regional Medical Center

  • General Acute Care Hospital
  • Hazard, KY
  • NPI 1609869916
  Care Compare affiliation
• Arh Tug Valley Health Services, Inc.

  dba Highlands ARH Regional Medical Center

  • General Acute Care Hospital
  • Prestonsburg, KY
  • NPI 1043878325
  Care Compare affiliation
• Arh Tug Valley Health Services, Inc.

  dba ARH Medical and Surgical Associates - Highlands

  • Multi-Specialty Clinic/Center
  • Prestonsburg, KY
  • NPI 1700445319

  Hospital

  Care Compare affiliation
• Norton Clark Hospital, LLC

  dba Norton Clark Hospital

  • General Acute Care Hospital
  • Jeffersonville, IN
  • NPI 1134186315
  Care Compare affiliation

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1407856214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-6942",
            "fax_number": "740-356-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 27TH ST",
            "address_2": "SOMC",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-356-8117",
            "fax_number": "740-353-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "NORMAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "35050302",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "51107",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "MC-177",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35050302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6478787200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635389",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOM RR MDCR PIN NUMBER",
            "identifier": "P00176289",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAL LICENSE",
            "identifier": "TP318",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL PIN NO",
            "identifier": "000000203530",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "norman.jacobs@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1805 27th St",
            "address_2": "SOMC",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Jacks
• Amber Nicole Jackson
• Morgan Jackson, RN, CDCA
• Richard Jackson
• Adam S Jacobs, COTA
• Bryant Christopher Jamison
• Dara Jamison
• Keith Jamison
• Michael Jamison
• Samantha Jarrells

• Diagnostic Radiology Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.