Doctor profile · Federal record

Dr. Lisa Jacob, M.D.

Plastic Surgery Physician · Plastic Surgery Physician · Plastic Surgery Physician · Wilkes Barre, PA

  • NPI 1700077237
  • 19 yrs on file
  • Licensed in 3 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
675 Baltimore Drive
Wilkes Barre, PA 187023306
(570) 808-6400
fax (570) 808-6338
Mailing address
100 N Academy Ave
Danville, PA 178224903

Credentials & registration

NPPES · NUCC
NPI registered
August 2007 — 19 yrs on file
Profile last updated
August 11, 2020
Specialty taxonomy
208200000X — NUCC code
State licenses (3)
Pennsylvania #MD452576 · New Jersey #25MA08245300 · West Virginia #24109

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1700077237. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
15
Distinct HCPCS
1
Medicare allowed
$2,970
HCPCS Description Services Patients Avg allowed
99205 New patient office or other outpatient visit, 60-74 minutes 15 15 $198

In context: peer comparison

Among 1 peers in Wilkes Barre Plastic Surgery Physician, average services per provider: 15. This provider delivers 1.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$141
Transactions
7
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Musculoskeletal Transplant Foundation INC. 3 $48.53
Mentor Worldwide LLC 2 $46.87
Abbvie INC. 1 $31.00
Smith+Nephew, INC. 1 $14.48

By nature of payment

Food and Beverage
$141

Frequently asked questions

Auto-generated from federal data
What is Dr. Lisa Jacob's medical specialty?
Dr. Lisa Jacob practices Plastic Surgery Physician in Wilkes Barre, PA.
Where does Dr. Lisa Jacob practice?
Dr. Lisa Jacob practices at 675 Baltimore Drive, Wilkes Barre, PA 187023306. Office phone: 5708086400.
What is Dr. Lisa Jacob's NPI?
Dr. Lisa Jacob's National Provider Identifier (NPI) is 1700077237, issued by NPPES.
What procedures does Dr. Lisa Jacob commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99205). Source: CMS Medicare Physician & Other Practitioners file.