KENNETH GIACOBBO (D.O.) – Internal Medicine Physician, NPI 1689618639

KENNETH GIACOBBO (D.O.) is a healthcare provider. based in Sarasota, Florida. specializing in Internal Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 25MB05784100 (NJ). The NPI Number for KENNETH GIACOBBO (D.O.) is 1689618639

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH GIACOBBO (D.O.)
NPI
1689618639
Phone
(941) 299-0114
Address
3506 CLARK RD
Enumeration Date
16 June 2006
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
8565961600
Graduation Year
1990 (36 years ago)
PAC ID
6901813963
Group Practice PAC ID
8820423163
Professional Enrollment ID
I20070313000536
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for KENNETH GIACOBBO (D.O.)

  • 3506 CLARK RD

    SARASOTA, FL 342318408

    Phone: (941) 299-0114

    Type: Location

  • 282, Chester Avenue, Stanwick, Moorestown, Moorestown Township, Burlington County, New Jersey, 08057, United States

    MOORESTOWN, NJ 080573306

    Phone: (856) 222-3292

    Fax: (856) 222-3293

    Type: Mailing

  • 102 WOODMONT BLVD STE 600

    NASHVILLE, TN 372055250

    Phone: (888) 987-1151

    Type: Mailing

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: 2024-07-29

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
I20240729003660IInternal MedicineFLTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes446139$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes146146$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes11698$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5440$0
View full utilization report →

Insurance plans in this area (ZIP 34231)

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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: 8820423163View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Family PracticeNJ
Family Practice, Geriatric MedicineNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

How do I look up KENNETH GIACOBBO (D.O.) by NPI?
Use NPI 1689618639 when you need to reference KENNETH GIACOBBO (D.O.) in forms, claims, or directories.
Is KENNETH GIACOBBO (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KENNETH GIACOBBO (D.O.)'s specialty in plain language?
Clinically, the directory lists KENNETH GIACOBBO (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KENNETH GIACOBBO (D.O.) practice in Florida?
You will see Sarasota, Florida on file for KENNETH GIACOBBO (D.O.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.