DR. JACOB DIDION (M.D.) – Neurology Physician, NPI 1104275239

DR. JACOB DIDION (M.D.) is a healthcare provider. based in Fort smith, Arkansas. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. LP03774 (RI). The NPI Number for DR. JACOB DIDION (M.D.) is 1104275239

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB DIDION (M.D.)
NPI
1104275239
Phone
(479) 806-0240
Address
10102 STEPHENS CT
Enumeration Date
9 June 2016
Last Update Date
14 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
6362374200
Graduation Year
2016 (10 years ago)
PAC ID
3779878269
Group Practice PAC ID
6901188572
Professional Enrollment ID
I20240619000630
Address ID
MO630172004CH15740RDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

173 NEUROLOGY in RI

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Provider Addresses for DR. JACOB DIDION (M.D.)

  • 10102 STEPHENS CT

    FORT SMITH, AR 729089339

    Phone: (479) 806-0240

    Type: Mailing

  • Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    PROVIDENCE, RI 029034923

    Phone: (401) 606-2513

    Fax: (401) 444-6858

    Type: Mailing

  • 7301 ROGERS AVE

    FORT SMITH, AR 729034100

    Phone: (479) 314-6000

    Fax: (479) 314-5185

    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: 2024-06-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210914002526INeurologyARTBD
I20240619000630INeurologyMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes318159$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes192182$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes158147$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7373$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3323$0
View full utilization report →

Insurance plans in this area (ZIP 72908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901188572View full group profile
NameSpecialtyState
Hospitalist, Internal Medicine, Internal MedicineIL
Emergency MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
Internal MedicineMO
Internal MedicineNY

Reviews

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Frequently asked questions

What is the standard ID for DR. JACOB DIDION (M.D.) in the U.S.?
In the U.S., DR. JACOB DIDION (M.D.) is identified by NPI 1104275239.
Is DR. JACOB DIDION (M.D.)'s NPI status active today?
Active status means DR. JACOB DIDION (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. JACOB DIDION (M.D.) provide?
DR. JACOB DIDION (M.D.)'s profile centers on Neurology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JACOB DIDION (M.D.) in Fort Smith, Arkansas?
For routing, start with Fort Smith, Arkansas for DR. JACOB DIDION (M.D.), then verify phone and hours locally.
Why is information missing for DR. JACOB DIDION (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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