Doctor profile · Federal record
Dr. Jacob Tom, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Springfield, OR
- NPI 1912972258
- Accepts Medicare
- MIPS 0.0 / 100 · 2023
- 32 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
960 N 16Th St Ste 103
Springfield, OR 974774175
(541) 726-4694
fax (541) 744-6069 - Mailing address
-
696 N Shepherd RD
Washougal, WA 986718320
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- June 8, 2011
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Washington #39631
- Medicaid
- OR #287539
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912972258. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,109
Distinct HCPCS
10
Medicare allowed
$109,346
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
77067 |
Screening mammography | 593 | 593 | $124 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 227 | 227 | $37 | |
76641 |
Complete ultrasound scan of 1 breast | 41 | 39 | $126 | |
76700 |
Complete ultrasound scan of abdomen | 32 | 32 | $114 | |
76881 |
Complete ultrasound scan of joint | 28 | 27 | $51 | |
71046 |
X-ray of chest, 2 views | 26 | 26 | $33 | |
74221 |
Double contrast x-ray of esophagus | 20 | 20 | $109 | |
73560 |
X-ray of knee, 1-2 views | 19 | 14 | $33 | |
76536 |
Ultrasound scan of head and neck soft tissue | 17 | 16 | $108 | |
93975 |
Complete ultrasound of abdomen and pelvis artery and vein blood flow | 16 | 16 | $249 |
In context: peer comparison
Among 6 peers in Springfield Diagnostic Radiology Physician, average services per provider: 251. This provider delivers 4.4× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Jacob Tom's medical specialty?
Dr. Jacob Tom practices Diagnostic Radiology Physician in Springfield, OR.
Where does Dr. Jacob Tom practice?
Dr. Jacob Tom practices at 960 N 16Th St Ste 103, Springfield, OR 974774175. Office phone: 5417264694.
What is Dr. Jacob Tom's NPI?
Dr. Jacob Tom's National Provider Identifier (NPI) is 1912972258, issued by NPPES.
Does Dr. Jacob Tom accept Medicare assignment?
Yes. Dr. Jacob Tom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Tom commonly perform?
Top Medicare-reported procedures in 2023: Screening mammography (HCPCS 77067); Dxa bone density measurement of hip, pelvis, spine (HCPCS 77080); Complete ultrasound scan of 1 breast (HCPCS 76641). Source: CMS Medicare Physician & Other Practitioners file.