Scott R Jacobson, MD
Orthopaedic Surgery, Sports Medicine in Bend, OR. Individual provider (NPI-1).
NPI number1730184201
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1730184201
- Entity type
- Individual (NPI-1)
- Name
- Scott R Jacobson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2005
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORTHOPEDIC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | MD19419 | OR | Yes |
Practice location
2200 Ne Neff RdSuite 200
Bend, OR 97701-4283
Phone 541-382-3344 · Fax 541-382-1681
Mailing address
2200 Ne Neff RdSuite 200
Bend, OR 97701-4283
Phone 541-382-3344 · Fax 541-382-1681
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