Doctor profile · Federal record
Dr. Jacob Iceberg, DO
Family Medicine Physician (CMS: Family Practice) · Grand Rapids, MI
- NPI 1043836612
- Accepts Medicare
- 6 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
280 60Th St Se # 200
Grand Rapids, MI 495488504
(616) 483-0750 - Additional location
-
300 Lafayette Ave Se Ste 4000
Grand Rapids, MI 495034692
(616) 685-6922
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- July 18, 2023
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Michigan #5101026922
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043836612. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$37
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alkermes, Inc. | 1 | $20.28 | |
| Indivior Inc. | 1 | $17.17 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
376
Patients
43
Total drug cost
$42,425
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 70 | 21 | $895 |
| Losartan Potassium | Generic | 30 | 0 | $366 |
| Allopurinol | Generic | 29 | 0 | $270 |
| Omeprazole | Generic | 27 | 11 | $357 |
| Metformin Hcl | Generic | 26 | 0 | $265 |
| Amlodipine Besylate | Generic | 24 | 11 | $237 |
| Trulicity (Dulaglutide) | Brand | 24 | 0 | $23,791 |
| Gabapentin | Generic | 20 | 0 | $280 |
| Hydrochlorothiazide | Generic | 20 | 0 | $91 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 19 | 0 | $980 |
Hospital affiliations
Frequently asked questions
What is Dr. Jacob Iceberg's medical specialty?
Dr. Jacob Iceberg practices Family Medicine Physician in Grand Rapids, MI.
Where does Dr. Jacob Iceberg practice?
Dr. Jacob Iceberg practices at 280 60Th St Se # 200, Grand Rapids, MI 495488504. Office phone: 6164830750.
What is Dr. Jacob Iceberg's NPI?
Dr. Jacob Iceberg's National Provider Identifier (NPI) is 1043836612, issued by NPPES.
Does Dr. Jacob Iceberg accept Medicare assignment?
Yes. Dr. Jacob Iceberg accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.