DR. MICHAEL A JACOBSON (M.D.) – Dermatology Physician, NPI 1649352964
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in CT
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Provider Addresses for DR. MICHAEL A JACOBSON (M.D.)
1051, Long Ridge Road, Stamford, Fairfield County, Connecticut, 06903, United States
STAMFORD, CT 069034436
Phone: (203) 329-7960
Fax: (203) 329-7920
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 117 Open Payments records for all available years, with a total value of $2,466.
Total Amount is formed as General ($2,466) + Research ($0) + Ownership ($0) = $2,466.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($466).
Total Amount
$2,466
General + Research + Ownership
Payments
117
Total payment records
General Amount
$2,466
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $466 |
| PFIZER INC. | $320 |
| Arcutis Biotherapeutics, Inc. | $236 |
| Regeneron Healthcare Solutions, Inc. | $152 |
| Lilly USA, LLC | $119 |
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: 2013-02-08
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 |
|---|---|---|---|---|
| I20110902000423 | I | Micrographic Dermatologic Surgery (Mds) | NY | TBD |
| I20130208000313 | I | Micrographic Dermatologic Surgery (Mds) | CT | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 443 | 374 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 213 | 42 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 202 | 152 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 183 | 136 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 150 | 116 | $0 |
Insurance plans in this area (ZIP 06903)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CT | 11042 | Removal of skin and tissue first 20 sq cm or less | 21 | 20 |
| DERMATOLOGY | CT | 11101 | Biopsy of each additional growth of skin and/or tissue | 51 | 22 |
| DERMATOLOGY | CT | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 120 | 116 |
| DERMATOLOGY | CT | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 45 | 45 |
| DERMATOLOGY | CT | 17003 | Destruction of 2-14 skin growths | 160 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CT | |
| D E R M A T O L O G Y | CT |
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