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Dr. Edward Cornelious Jacobs , MD

Urology • Kettering, OH

Active NPI 1255330676 Individual Practitioner Male Practitioner
Practice location in NPPES

10 Southmoor Cir Nw
Kettering, OH 454292486

Call 9372941489 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10 Southmoor Cir Nw

Kettering, OH 454292486

Telephone 9372941489
Fax 9372976468
Organization at the Same NPPES Address or Phone
South Dayton Urological Associates Facility NPI 1811022619

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $14,651 in 2019

The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

Paid by Medicare

About $11,286 in 2019

The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

30-day fills

52 standardized 30-day fills in 2020

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$529 in 2020

The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $11.45 in 2020

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2020.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Kettering and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Jacobs are from 2019.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Jacobs are from 2020.

6 active clinicians are listed under Urology with a practice address in Kettering, OH (531 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2020), CMS Open Payments (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2020
Disclosure Year:

Program year 2020 (payments made January 1 – December 31, 2020): fewer than 11 records totaling $11.45.

Manufacturer Payment Nature Product Type Amount ($)
BOSTON SCIENTIFIC CORPORATION
Food and Beverage
In-kind items and services
GENERAL - KIDNEY STONE DISEASE General $11.45

Source: CMS Open Payments, program year 2020, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2019.

CMS Part B · Data Year 2019
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
32 29 $332.00 $133.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
30 21 $117.00 $71.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 23 $257.00 $102.10
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
25 15 $96.00 $38.52
74420 Imaging of urinary tract following injection of a contrast agent
16 15 $107.00 $23.98
52332 Insertion of stent in ureter using an endoscope
13 11 $865.85 $127.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
12 12 $487.48 $197.60

Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2020.

CMS Part D · Data Year 2020
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 18 1,560 $528.65 11

Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

License # reported to NPPES OH 35073367

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES CA G16625

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES ME 014971

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES MA 32702

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES OH 35-07-3367-J

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2033007 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Emily Boucher , PA-C

Physician Assistant

NPI 1255933263

Physician Assistant (Certified)

Jessica Christman , APRN, CNP

Nurse Practitioner - Family

NPI 1336927508

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1225223043

Doctor of Medicine (M.D.)

NPI 1740816263

Doctor of Osteopathic Medicine (D.O.)

NPI 1689849192

Doctor of Medicine (M.D.)

NPI 1215298104

Doctor of Medicine (M.D.), Master of Business Administration

Career & Practice History

NPI enumerated July 18, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1255330676
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2005
Last Update: March 05, 2015
Sole Proprietor: No

Other Urology Specialists in Kettering

Healthcare providers in Kettering

Mailing Address

1 Prestige Pl, Suite 550

Miamisburg, OH 453423794

Phone: 9377522305

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.