JERRY RICHARD JACOBS (DO) – Family Medicine Physician, NPI 1316931777

JERRY RICHARD JACOBS (DO) is a healthcare provider. based in Brooksville, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 0S0007621 (FL). The NPI Number for JERRY RICHARD JACOBS (DO) is 1316931777

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
JERRY RICHARD JACOBS (DO)
NPI
1316931777
Phone
(352) 797-3500
Address
44 VETERANS AVE
Enumeration Date
31 August 2005
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527973500
Graduation Year
1994 (32 years ago)
PAC ID
4284883174
Group Practice PAC ID
2264595941
Professional Enrollment ID
I20121022000800
Address ID
FL346013215BR44XXXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for JERRY RICHARD JACOBS (DO)

  • 44 VETERANS AVE

    BROOKSVILLE, FL 346013215

    Phone: (352) 797-3500

    Fax: (352) 797-3526

    Type: Mailing

  • 16332, Cortez Boulevard, Wiscon, Brooksville, Hernando County, Florida, 34601, United States

    UNIT F

    BROOKSVILLE, FL 34601

    Phone: (352) 596-4482

    Fax: (352) 596-2241

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($45).

Total Amount

$45

General + Research + Ownership

Payments

1

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-10-22

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
I20121022000800IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes340189$0
99213Established patient office or other outpatient visit, 20-29 minutes297169$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit167167$0
99212Established patient office or other outpatient visit, 10-19 minutes2323$0
81003Automated urinalysis test1916$0
View full utilization report →

Insurance plans in this area (ZIP 34601)

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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: 2264595941View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Internal MedicineFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
General Surgery, Surgical OncologyTX
O B S T E T R I C S/ G Y N E C O L O G YFL
Nephrology, Internal MedicineFL
Family PracticeAK
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is JERRY RICHARD JACOBS (DO)'s NPI number?
JERRY RICHARD JACOBS (DO)'s NPI is 1316931777 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JERRY RICHARD JACOBS (DO)?
For scheduling context, JERRY RICHARD JACOBS (DO) is shown as active in the registry.
What kind of doctor is JERRY RICHARD JACOBS (DO)?
JERRY RICHARD JACOBS (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JERRY RICHARD JACOBS (DO) associated with Brooksville?
Public fields place JERRY RICHARD JACOBS (DO) around Brooksville, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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