Individual provider Active NPI

Jacob Conrad Meyer, MD

  • Retina Specialist (Ophthalmology) Physician
  • Charlottesville, VA
National Provider Identifier
1588837645
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
0101255370 Issued in VA
Practice address
600 Peter Jefferson Pkwy
Suite 350
Charlottesville, VA 22911-8835
Phone
(434) 978-2040
Fax
(434) 978-2040
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036129823 IL
Ophthalmology Physician 207W00000X 0101255370 VA
Ophthalmology Physician 207W00000X 2012008076 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101255370 VA Primary

Addresses

Primary practice location

600 Peter Jefferson Pkwy
Suite 350
Charlottesville, VA 22911-8835

Mailing address

600 Peter Jefferson Pkwy
Suite 350
Charlottesville, VA 22911-8835
Phone (434) 978-2040

Other practice location 1

663 Lifecore Dr
Fishersville, VA 22939-2368
Phone (540) 949-9080

Other practice location 2

1001 Research Park Blvd Ste 420
Charlottesville, VA 22911-5848
Phone (434) 474-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140806002108 VA Practitioner - Ophthalmology 9436314283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Retina Consultants, PLCGroup PAC ID 5597719591, 3 clinicians

Practice addresses (Care Compare)

663 Lifecore Dr
Fishersville, VA 22939-2368
Phone (540) 949-9080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255370VAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Retina Consultants, PLC Retina Specialist CurrentSince Jul 15, 2014 Accepting new patients
The Retina Institute LLC Ophthalmology Past Accepting new patients
Retina Consultants, LLC Retina Specialist PastSince May 1, 2011 Accepting new patients

Locations

1001 Research Park Blvd
Ste 420
Charlottesville, VA 22911
Phone (434) 474-2020

595 Martha Jefferson Dr
Charlottesville, VA 22911
Phone (434) 293-4995

595 Martha Jefferson Dr
Ste 290
Charlottesville, VA 22911
Phone (434) 293-4995

600 Peter Jefferson Pkwy
Ste 350
Charlottesvle, VA 22911
Phone (434) 977-0027

2331 Seminole Ln
Ste 201
Charlottesvle, VA 22901
Phone (434) 293-4995

663 Lifecore Dr
Fishersville, VA 22939
Phone (434) 949-9080

Interoperability endpoints

  • Direct secure messaging: jacob.meyer.md@varetina.md.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1588837645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY",
            "address_2": "SUITE 350",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-978-2040",
            "fax_number": "434-978-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY",
            "address_2": "SUITE 350",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-978-2040",
            "fax_number": "434-978-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "663 Lifecore Dr",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392368",
            "country_code": "US",
            "telephone_number": "540-949-9080",
            "fax_number": "540-949-5787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Research Park Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229115848",
            "country_code": "US",
            "telephone_number": "434-474-2020",
            "fax_number": "434-474-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JACOB",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036129823",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101255370",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2012008076",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101255370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.