Shane Jacob, PA
NPI 1609484468 · Physician Assistant · Elmhurst, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Jacob, PA is a Physician Assistant provider in Elmhurst, NY (NPI 1609484468).
Provider details
- NPI number
- 1609484468
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,041 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 334 | $88 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 236 | $40 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 184 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 107 | $122 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 62 | $108 |
| Automated Urinalysis Test81003 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 70 | 68 |
| Fluticasone Propionate | 50 | 49 |
| Prednisone | 50 | 47 |
| Ibuprofen | 47 | 43 |
| Cephalexin | 33 | 30 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 33 | 28 |
| Ofloxacin | 28 | 28 |
| Sulfamethoxazole/Trimethoprim |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Shane Jacob's NPI number?
- Shane Jacob's National Provider Identifier (NPI) is 1609484468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Jacob's specialty?
- Shane Jacob is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shane Jacob located?
- Shane Jacob's practice location on file with NPPES is 7901 Broadway, Elmhurst, NY 11373-1329.
- What is Shane Jacob's phone number?
- The practice phone number listed in the NPPES registry for Shane Jacob is (718) 334-2480.
- Does Shane Jacob accept Medicare?
- Shane Jacob is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Jacob's NPI active?
- Yes — Shane Jacob's NPI (1609484468) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.