Randolph Jacobs, M.D.
NPI 1417975905 · Dermatology Physician · Wildomar, CA
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randolph Jacobs, M.D. is a Dermatology Physician provider in Wildomar, CA (NPI 1417975905).
Provider details
- NPI number
- 1417975905
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G61654 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,252 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 834 | $7 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 277 | $52 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 250 | $89 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 229 | $55 |
| Biopsy of Related Skin Growth, First Growth11102 | 162 | $89 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocortisone | 633 | 428 |
| Fluorouracil | 489 | 333 |
| Cephalexin | 304 | 274 |
| Triamcinolone Acetonide | 201 | 126 |
| Doxycycline Hyclate | 162 | 65 |
| Ketoconazole | 150 | 76 |
| Clobetasol Propionate | 143 | 84 |
| Ammonium Lactate | 95 | 47 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,470 across 105 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2008-03-12
Frequently asked questions
- What is Randolph Jacobs's NPI number?
- Randolph Jacobs's National Provider Identifier (NPI) is 1417975905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randolph Jacobs's specialty?
- Randolph Jacobs is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Randolph Jacobs located?
- Randolph Jacobs's practice location on file with NPPES is 23905 Clinton Keith Rd Ste 114, Wildomar, CA 92595-7899.
- What is Randolph Jacobs's phone number?
- The practice phone number listed in the NPPES registry for Randolph Jacobs is (951) 672-7673.
- Does Randolph Jacobs accept Medicare?
- Randolph Jacobs is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randolph Jacobs's NPI active?
- Yes — Randolph Jacobs's NPI (1417975905) is active in the NPPES registry as of the last update on 2008-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.