Stacy Jacob, DMD
General Practice Dentistry · Lakewood, OH
Stacy Jacob, DMD is a general practice dentistry with a practice address in Lakewood, Ohio, and NPI 1275150013, issued on Jun 27, 2020. Check the license (Ohio 30.026177, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Stacy Jacob
- Credential
- DMD
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 30.026177 OH
Self-reported in NPPES; status is on the state search - Practice location
- 15711 Madison Ave Ste 104, Lakewood, OH 44107
- Phone
- (216) 228-7950
- Enumerated
- Jun 27, 2020
- Record last updated
- Jun 27, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (216) 228-7951
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 3,986 in Ohio → Look up another NPI →
Also registered at 15711 Madison Ave Ste 104
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Connor Kilander, DMDDentist1417522855
- Justin Mackert, DMDGeneral Practice Dentistry1528685369
- Urban Picard, DDSOral and Maxillofacial Surgery (Dentist)1407885601
Verify Stacy Jacob in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Ohio board licenses this profession
Search for license 30.026177Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
48% more Medicare Part D claims than the average general practice dentistry in 2024
123 Medicare Part D claims for 75 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin79 claims
- Clindamycin Hcl12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Stacy Jacob among 3,986 general practice dentistry records in Ohio
Stacy Jacob, DMD is one of 3,986 general practice dentistry records with a practice address in Ohio. 63% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 85% of them.
- NPI issued2020 · 85% of these records are older, 12% newer
- In a Medicare fileYes · 63% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2020 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
16 general practice dentistry records list a practice address in Lakewood
They are 16 of the 788 NPPES records with a practice address in Lakewood, and 3,986 general practice dentistry records in Ohio.
All 3,986 in Ohio → Every provider in Lakewood → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Rainard Beer, DDSLakewood, OH 441071740346634
- Divya BekalLakewood, OH 441071225561848
- Nicole Cochran, DDSLakewood, OH 441071316028145
- Gregory Devor, D.D.S.Lakewood, OH 441071265588008
- Gary Hermann, D.D.S.Lakewood, OH 441071457450264
- Linda Hippler, DDSLakewood, OH 441071619181344
- Thomas Kavanagh, D.D.S.Lakewood, OH 441071093832917
- Robert Legan, DDSLakewood, OH 441071104946193
Common questions
What is Stacy Jacob, DMD's NPI number?
Stacy Jacob, DMD's National Provider Identifier (NPI) is 1275150013, issued on Jun 27, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Stacy Jacob, DMD located?
The NPPES record lists a practice address at 15711 Madison Ave Ste 104, Lakewood, OH, 44107. Phone: (216) 228-7950. Providers update this record themselves, so call before visiting.
How can I verify Stacy Jacob, DMD's license?
NPPES lists Ohio license number 30.026177, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.
How much does Stacy Jacob, DMD prescribe under Medicare Part D?
In 2024, Stacy Jacob, DMD had 123 Medicare Part D claims for 75 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.