Individual provider Active NPI

Jeffrey A Jacoby, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Geneva, IL
National Provider Identifier
1659373751
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
036148166 Issued in IL
Practice address
2525 Kaneville Rd
Geneva, IL 60134-2578
Phone
(630) 584-1400
Fax
(630) 584-1733
NPI assigned
Aug 10, 2005
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 43449 CO
Orthopaedic Surgery of the Spine Physician 207XS0117X 43449 CO
Orthopaedic Surgery of the Spine Physician 207XS0117X 036148166 IL Primary

Addresses

Primary practice location

2525 Kaneville Rd
Geneva, IL 60134-2578

Mailing address

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (630) 584-1400

Other practice location 1

1975 Lin Lor Ln
Elgin, IL 60123-4902
Phone (847) 468-1400

Other practice location 2

2535 Soderquist Ct
Geneva, IL 60134-3593
Phone (630) 584-1400

Other identifiers 1

IdentifierTypeStateIssuer
34876800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190329000302 IL Practitioner - Orthopedic Surgery 3971548074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (847) 468-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as individual
Quality
68.57
Promoting interoperability
100
Improvement activities
40
Cost
75.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion372
Laminectomy or laminotomy (partial removal of spine bones)100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036148166ILMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Orthopaedic Associates, PLLC Current Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Orthopaedic Surgery CurrentSince Mar 6, 2019 Accepting new patients
Fox Valley Orthopaedic Associates, S.C. Orthopaedic Surgery CurrentSince Mar 6, 2019 Accepting new patients
Holy Family Memorial Inc Past Accepting new patients

Locations

2971 W Algonquin Rd
Ste 101A
Algonquin, IL 60102
Phone (847) 854-8590

420 W Northwest Hwy
Ste M
Barrington, IL 60010
Phone (847) 277-1376

1710 N Randall Rd
Ste 140
Elgin, IL 60123
Phone (224) 293-1170

1975 Lin Lor Ln
Elgin, IL 60123
Phone (847) 468-1400

2350 Royal Blvd
Ste 200
Elgin, IL 60123
Phone (847) 931-5300

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

2535 Soderquist Ct
Geneva, IL 60134
Phone (630) 584-1400

1500 Sycamore Rd
Yorkville, IL 60560
Phone (630) 553-4470

Interoperability endpoints

  • Direct secure messaging: jeffrey.jacoby.1@26750.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1659373751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400",
            "fax_number": "630-584-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400",
            "fax_number": "630-584-1733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Lin Lor Ln",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601234902",
            "country_code": "US",
            "telephone_number": "847-468-1400",
            "fax_number": "847-468-1283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2535 Soderquist Ct",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601343593",
            "country_code": "US",
            "telephone_number": "630-584-1400",
            "fax_number": "630-584-1733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "43449",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "43449",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "036148166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34876800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.