Jacob Wellington Brubaker, M.D.

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

A124655 Issued in CA

Practice address

1515 Response Rd
Sacramento, CA 95815-4805

Phone

(916) 649-1515

Fax

(916) 649-1516

NPI assigned

Oct 31, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sacramento Eye Consultants a Med CorpGroup PAC ID 5597710319, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

Merit-based Incentive Payment System (MIPS)

Final score

90.11 of 100Reported as group

Quality

100

Promoting interoperability

93

Improvement activities

40

Cost

70.1

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbrubaker15614@hpmg.direct-ci.net

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.

• Sacramento Eye Consultants a Med Corp

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1730253287
  Medicare reassignment Care Compare group Authorized official
• Auburn Eye Care Associates

  • Optometrist
  • Auburn, CA
  • NPI 1437237906
  Medicare reassignment NPD
• Auburn Eye Care Associates

  • Optometrist
  • Colfax, CA
  • NPI 1134663842
  NPD
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  NPD (past)

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

• Dignity Health

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  Care Compare affiliation

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1740433945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RESPONSE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154805",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RESPONSE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154805",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Fieldstone Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "CA",
            "postal_code": "956488807",
            "country_code": "US",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "JACOB",
        "middle_name": "WELLINGTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A124655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donni B Brownstone, D.D.S.
• Paul Broyer, PT, DPT, CSCS
• Amy Broyles, PT
• Julia Broyles
• Ravina Brring, DO
• Bruce P. Decarlo, MD, Inc.
• Autumn Y. Bruce-Scott, LPCC
• Sabrina Claire Bruce, MHA 1
• Samantha Bruce
• Thomas Brudz, P.A.-C, ATC

• Glaucoma Specialist (Ophthalmology) Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Glaucoma Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.