JACOB STEPHEN FELDMAN (M.D.) – Otolaryngology Physician, NPI 1104137710
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
203 OTOLARYNGOLOGY in AZ
Provider Addresses for JACOB STEPHEN FELDMAN (M.D.)
1200 N BEAVER ST
FLAGSTAFF, AZ 860013118
Phone: (928) 779-3366
Type: Mailing
750 E ADAMS ST
SYRACUSE, NY 132102306
Phone: (315) 464-7333
Fax: (315) 464-7282
Type: Mailing
1000 N OAK AVE
Marshfield, WI 544495703
Phone: (715) 387-5511
Type: Location
1836 South Ave
LA Crosse, WI 546015429
Phone: (608) 782-7300
Type: Location
5100 W Taft Rd Ste 3E
Liverpool, NY 130883809
Phone: (315) 452-2350
Fax: (315) 452-2355
Type: Location
5100 W TAFT RD STE 3E
LIVERPOOL, NY 130883809
Phone: (315) 452-2350
Fax: (315) 452-2355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-01-05
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 |
|---|---|---|---|---|
| I20161202002020 | I | Otolaryngology | WI | TBD |
| I20240105003087 | I | Otolaryngology | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 86001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | AZ | |
| Physician Assistant | CA | |
| H O S P I T A L I S T | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| A N E S T H E S I O L O G Y | NV | |
| Family Practice | AZ | |
| Physician Assistant | CA |
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