NPI Details
Kraig Warren Jacobson, M.D. is an allergy immunology in Eugene, OR with 51 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Kraig Warren Jacobson, M.D. NPI is 1255323515. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1974
The provider's business location address is:
1488 OAK ST
EUGENE, OR
ZIP 97401-043
Phone: (541) 683-1577
Fax: (541) 344-6176
The NPI 1255323515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Professional service for single injection of allergen (HCPCS:95115)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Test to measure expiratory airflow and volume (HCPCS:94010)
- Test to measure the level of nitric oxide gas (HCPCS:95012)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Administration of influenza virus vaccine (HCPCS:G0008)
The enumeration date for this NPI number is 8/22/2005 and was last updated on 12/28/2010.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207K00000X | Allergy & Immunology | | 09759 | OREGON | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 234468 | MEDICAID | OREGON | |
| 2 | E03504 | MEDICARE UPIN | OREGON | |
| 3 | 03WCGRHA | MEDICARE ID-TYPE UNSPECIFIED | OREGON | |
