Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lance Glen Jacobson, MD

Individual provider Orthopaedic Trauma Physician · NPI 1689940405

Lance Glen Jacobson, MD practises Orthopedic Surgery in Idaho Falls, Idaho. Graduated from Medical College of Wisconsin in 2012, 14 years ago. Practices with Idaho Physician Services Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Trained at
Medical College of Wisconsin
Licensed in
ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3200 Channing Way Ste A205
Idaho Falls, ID 83404-7586
Phone: (208) 535-4580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M-14018 (ID)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence M-14018 (ID)

Record details

NPI number1689940405
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2012
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2012 (14 years in practice)
Group practice Idaho Physician Services Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients107
Services billed 447 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Idaho Physician Services Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 18 clinicians in the practice; 12 are shown here.

Other providers in Idaho Falls