Doctor profile · Federal record
Dr. Marykutty Jacob, ANP-C
Adult Health Nurse Practitioner (CMS: Nurse Practitioner) · New Hyde Park, NY
- NPI 1275836058
- Accepts Medicare
- MIPS 85.0 / 100 · 2023
- 17 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
450 Lakeville RD, Suite M41
New Hyde Park, NY 110421117
(516) 734-8500
fax (516) 734-8537
Credentials & registration
- NPI registered
- December 2010 — 16 yrs on file
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 363LA2200X — NUCC code
- State license (1)
- New York #F 3055327-1
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275836058. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
107
Distinct HCPCS
5
Medicare allowed
$6,205
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
51798 |
Ultrasound measurement of bladder capacity after voiding | 51 | 47 | $13 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 16 | 16 | $120 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $90 | |
51700 |
Simple bladder irrigation and/or instillation | 13 | 13 | $31 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $155 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 88. This provider delivers 1.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
81
Patients
29
Total drug cost
$16,510
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Myrbetriq (Mirabegron) | Brand | 16 | 0 | $14,654 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 15 | 15 | $82 |
| Ciprofloxacin Hcl | Generic | 14 | 14 | $78 |
| Tamsulosin Hcl | Generic | 14 | 0 | $203 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 11 | 0 | $103 |
| Methenamine Hippurate | Generic | 11 | 0 | $1,389 |
Hospital affiliations
Frequently asked questions
What is Dr. Marykutty Jacob's medical specialty?
Dr. Marykutty Jacob practices Adult Health Nurse Practitioner in New Hyde Park, NY.
Where does Dr. Marykutty Jacob practice?
Dr. Marykutty Jacob practices at 450 Lakeville RD, New Hyde Park, NY 110421117. Office phone: 5167348500.
What is Dr. Marykutty Jacob's NPI?
Dr. Marykutty Jacob's National Provider Identifier (NPI) is 1275836058, issued by NPPES.
Does Dr. Marykutty Jacob accept Medicare assignment?
Yes. Dr. Marykutty Jacob accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Marykutty Jacob commonly perform?
Top Medicare-reported procedures in 2023: Ultrasound measurement of bladder capacity after voiding (HCPCS 51798); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.