Addison Jacobs, MD
NPI 1679109482 · Diagnostic Radiology Physician · Scott Air Force Base, IL
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Addison Jacobs, MD is a Diagnostic Radiology Physician provider in Scott Air Force Base, IL (NPI 1679109482).
Provider details
- NPI number
- 1679109482
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2026006949 (MO)
Specialties & taxonomies
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 tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (4)
- 927 Broadway StQuincy, IL 62301-2719Phone: (217) 223-8400Fax: (217) 277-3960
- 4800 Maine StQuincy, IL 62305-5875Phone: (217) 223-8400Fax: (217) 277-3960
- Walter Reed Military Medical Center8901 Wisconsin AvenueBethesda, MD 20889Phone: (301) 295-4000
- 100 Medical DrHannibal, MO 63401-6877Phone: (217) 223-8400Fax: (217) 277-3960
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Addison Jacobs's NPI number?
- Addison Jacobs's National Provider Identifier (NPI) is 1679109482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Addison Jacobs's specialty?
- Addison Jacobs is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Addison Jacobs located?
- Addison Jacobs's practice location on file with NPPES is 310 W Losey St, Scott Air Force Base, IL 62225-5250.
- What is Addison Jacobs's phone number?
- The practice phone number listed in the NPPES registry for Addison Jacobs is (618) 256-9355.
- Does Addison Jacobs accept Medicare?
- Addison Jacobs is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Addison Jacobs's NPI active?
- Yes — Addison Jacobs's NPI (1679109482) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.