Jacob Jaco, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10002987A Issued in IN

Practice address

10455 Orthopaedic Dr
Newburgh, IN 47630-7955

Phone

(812) 424-9291

Fax

(812) 421-2722

NPI assigned

Jul 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

T J Health Columbia IncGroup PAC ID 7113224783, shared by 10 NPIs, 43 clinicians

PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Adair County Hospital DistrictGroup PAC ID 3577474667, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
• TJ Health Columbia Hospital, Columbia, KY, CCN 180149
• Cumberland County Hospital Hospital, Burkesville, KY, CCN 181317
• Monroe County Medical Center Hospital, Tompkinsville, KY, CCN 180105
• The Medical Center at Albany Hospital, Albany, KY, CCN 181333

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

86.82 of 100Reported as group

Quality

85.26

Promoting interoperability

100

Improvement activities

40

Cost

70.8

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Orthopaedic Associates Inc

  • Orthopaedic Surgery Physician
  • Henderson, KY
  • NPI 1841570108

  Multi-Specialty

  Medicare reassignment NPD
• T J Health Columbia Inc

  • Rural Health Clinic/Center
  • Russell Springs, KY
  • NPI 1821454349

  Multi-Specialty

  Medicare reassignment NPD
• T J Health Columbia Inc

  • Rural Health Clinic/Center
  • Greensburg, KY
  • NPI 1912358011

  Multi-Specialty

  Medicare reassignment NPD
• T J Health Columbia Inc

  • Rural Health Clinic/Center
  • Columbia, KY
  • NPI 1942666466

  Multi-Specialty

  Medicare reassignment NPD
• T J Health Columbia Inc

  • Rural Health Clinic/Center
  • Columbia, KY
  • NPI 1235595653
  Medicare reassignment
• T J Health Columbia Inc

  • General Practice Physician
  • Columbia, KY
  • NPI 1164881132

  Multi-Specialty

  NPD
• T J Health Columbia Inc

  • Rural Health Clinic/Center
  • Tompkinsville, KY
  • NPI 1336602838

  Multi-Specialty

  NPD
• T J Health Columbia Inc

  • Rural Health Clinic/Center
  • Edmonton, KY
  • NPI 1831555358

  Multi-Specialty

  NPD
• T J Samson Community Hospital

  • Skilled Nursing Facility
  • Glasgow, KY
  • NPI 1760475925
  NPD (past)

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

• Bowling Green-Warren County Community Hospital Corporation

  • Critical Access Hospital
  • Albany, KY
  • NPI 1598125502
  Care Compare affiliation
• Cumberland County Hospital Association Inc

  • Critical Access Hospital
  • Burkesville, KY
  • NPI 1073567608
  Care Compare affiliation
• Monroe Medical Foundation, Inc.

  • General Acute Care Hospital
  • Tompkinsville, KY
  • NPI 1053499350
  Care Compare affiliation
• T J Health Columbia Inc

  • General Acute Care Hospital
  • Columbia, KY
  • NPI 1134585656
  Care Compare affiliation
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Hospital

  Care Compare affiliation
• T J Samson Community Hospital

  • General Acute Care Hospital
  • Glasgow, KY
  • NPI 1770581894
  Care Compare affiliation

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1639788326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 READ ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101739",
            "telephone_number": "812-424-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 ORTHOPAEDIC DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307955",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5828 Pearl Dr",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477128116",
            "country_code": "US",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Starlite Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424206102",
            "country_code": "US",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 READ ST",
            "address_purpose": "LOCATION",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101739",
            "country_code": "US",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACO",
        "first_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2736",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002987A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10002987A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044870",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA2736",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "847950029",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Glenn Ison, DMD
• J & P Foster, Inc
• J & P Foster, Inc.
• Melinda Brown Jackson, M.D., PHD
• Pamela S Jackson, FNP-C
• Lindsey Jaco, PA
• Neil Kunal Jairath, MD
• James G Woodyard, DMD, Ms, PC
• Brandi James, RBT
• Makiya January

• Physician Assistant in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.