JACOB PAULY GRIBB – Oral & Maxillofacial Surgery (D.M.D.), NPI 1316574288

JACOB PAULY GRIBB is a healthcare provider. based in Wilmington, Delaware. specializing in ORAL SURGERY. They hold a License No. DS042834 (PA). The NPI Number for JACOB PAULY GRIBB is 1316574288

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JACOB PAULY GRIBB
NPI
1316574288
Phone
Not provided
Address
501 W 14TH ST STE 2W22
Enumeration Date
23 March 2020
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6103267880
Graduation Year
2020 (6 years ago)
PAC ID
6103249370
Group Practice PAC ID
2668442492
Professional Enrollment ID
I20250220001081
Address ID
PA194643233PO500XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

172 ORAL SURGERY in PA

Provider Addresses for JACOB PAULY GRIBB

  • 501 W 14TH ST STE 2W22

    WILMINGTON, DE 198011013

    Phone:

    Type: Mailing

  • 500 HERITAGE DR

    POTTSTOWN, PA 194643233

    Phone: (610) 326-7880

    Fax: (610) 323-1520

    Type: Location

  • 501 W 14TH ST

    WILMINGTON, DE 198011013

    Phone: (302) 733-1042

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $737.

Total Amount is formed as General ($737) + Research ($0) + Ownership ($0) = $737.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($292).

Total Amount

$737

General + Research + Ownership

Payments

9

Total payment records

General Amount

$737

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250220001081IOral SurgeryPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19801)

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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: 2668442492View full group profile
NameSpecialtyState
Oral Surgery, Maxillofacial SurgeryPA
Maxillofacial Surgery, Oral SurgeryPA
Maxillofacial Surgery, Oral SurgeryPA
Maxillofacial Surgery, Anesthesiology, Oral Surgery, Plastic And Reconstructive SurgeryPA

Reviews

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Frequently asked questions

Is JACOB PAULY GRIBB listed with a National Provider Identifier?
Yes — JACOB PAULY GRIBB has NPI 1316574288 on file in the registry.
Is JACOB PAULY GRIBB still an active registrant?
JACOB PAULY GRIBB carries an active NPI according to the public dataset.
How would a patient describe JACOB PAULY GRIBB's focus?
For JACOB PAULY GRIBB, the primary taxonomy reads as Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
What locale is associated with JACOB PAULY GRIBB?
Directory geography for JACOB PAULY GRIBB centers on Wilmington, Delaware.
When was this NPI issued?
Enumeration for JACOB PAULY GRIBB is noted as March 23, 2020 where the registry provides it.

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