Doctor profile · Federal record
Dr. Rachael Jacoby, MD
Ophthalmology Physician (CMS: Pediatric Medicine) · Salt Lake City, UT
- NPI 1265659213
- Accepts Medicare
- MIPS 95.2 / 100 · 2023
- 22 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
65 Mario Capecchi Dr
Salt Lake City, UT 841320001
(801) 581-2352 - Mailing address
-
Po Box 413075
Salt Lake City, UT 841413075
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- October 21, 2021
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- State license (1)
- Utah #5764061-1205
- Medicaid
- WI #1265659213
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265659213. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,180
Distinct HCPCS
10
Medicare allowed
$189,331
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92134 |
Imaging of retina | 925 | 337 | $24 | |
67028 |
Injection of drug into eye | 628 | 147 | $99 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 388 | 271 | $95 | |
92134 |
Imaging of retina | 374 | 151 | $24 | |
67028 |
Injection of drug into eye | 235 | 64 | $95 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 155 | 118 | $95 | |
92250 |
Photography of the retina | 119 | 103 | $20 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 108 | 93 | $64 | |
92012 |
Established patient problem focused exam of visual system | 80 | 57 | $49 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 51 | 45 | $64 |
In context: peer comparison
Among 31 peers in this city , average services per provider: 112. This provider delivers 28× the peer median.Open Payments
Industry payments received
All-time total
$161
Transactions
6
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 4 | $109.27 | |
| Astellas Pharma US Inc | 1 | $28.34 | |
| Genentech USA, Inc. | 1 | $23.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
142
Patients
19
Total drug cost
$4,240
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisolone Acetate | Generic | 41 | 19 | $1,710 |
| Timolol Maleate | Generic | 27 | 0 | $381 |
| Ketorolac Tromethamine | Generic | 23 | 0 | $1,373 |
| Erythromycin (Erythromycin Base) | Brand | 20 | 0 | $258 |
| Brimonidine Tartrate | Generic | 16 | 0 | $180 |
| Latanoprost | Generic | 15 | 0 | $338 |
Frequently asked questions
What is Dr. Rachael Jacoby's medical specialty?
Dr. Rachael Jacoby practices Ophthalmology Physician in Salt Lake City, UT.
Where does Dr. Rachael Jacoby practice?
Dr. Rachael Jacoby practices at 65 Mario Capecchi Dr, Salt Lake City, UT 841320001. Office phone: 8015812352.
What is Dr. Rachael Jacoby's NPI?
Dr. Rachael Jacoby's National Provider Identifier (NPI) is 1265659213, issued by NPPES.
Does Dr. Rachael Jacoby accept Medicare assignment?
Yes. Dr. Rachael Jacoby accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rachael Jacoby commonly perform?
Top Medicare-reported procedures in 2023: Imaging of retina (HCPCS 92134); Injection of drug into eye (HCPCS 67028); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.