DR. JEROME O LIST (D.D.S., M.D.) – Otolaryngology Physician, NPI 1093776080
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 OTOLARYNGOLOGY in AK
Loading map...
Provider Addresses for DR. JEROME O LIST (D.D.S., M.D.)
3841 PIPER ST STE T311
ANCHORAGE, AK 995084674
Phone: (907) 563-3096
Fax: (907) 563-3096
Type: Mailing
3841, Piper Street, Anchorage, Alaska, 99508, United States
SUITE T4-348
ANCHORAGE, AK 995084616
Phone: (907) 261-3096
Fax: (907) 261-3094
Type: Location
3831 PIPER ST STE S433
ANCHORAGE, AK 995086900
Phone: (907) 561-1421
Fax: (907) 561-0327
Type: Mailing
12641 OLD GLENN HWY STE 201
EAGLE RIVER, AK 995777040
Phone: (907) 561-1421
Fax: (907) 561-0327
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $2,038.
Total Amount is formed as General ($2,038) + Research ($0) + Ownership ($0) = $2,038.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: LivaNova USA, Inc. ($1,652).
Total Amount
$2,038
General + Research + Ownership
Payments
12
Total payment records
General Amount
$2,038
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LivaNova USA, Inc. | $1,652 |
| AERIN MEDICAL INC. | $126 |
| GlaxoSmithKline, LLC. | $112 |
| Integra LifeSciences Corporation | $97 |
| ABBVIE INC. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120315000825 | I | Otolaryngology | AK | TBD |
| I20240607000922 | I | Otolaryngology | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 196 | 118 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 92 | 92 | $0 |
| 69210 | Removal of impacted ear wax | 91 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 39 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 35 | 33 | $0 |
Insurance plans in this area (ZIP 99508)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | NY | |
| G A S T R O E N T E R O L O G Y | NY | |
| P O D I A T R Y | NY | |
| Internal Medicine | VA | |
| General Surgery, Critical Care (Intensivists) | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | NY | |
| - | NY | |
| Infectious Disease, Internal Medicine | NY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.