CHARLES JACOBS (M.D.) – Diagnostic Radiology Physician, NPI 1831620343
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for CHARLES JACOBS (M.D.)
3501 JOHNSON ST
HOLLYWOOD, FL 330215421
Phone: (813) 765-7678
Type: Location
653, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States
4TH FLOOR, LRC BOX L15
JACKSONVILLE, FL 322096511
Phone: (904) 244-3149
Type: Mailing
240 CENTRAL PARK S
NEW YORK, NY 100191457
Phone: (813) 765-7678
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: 2025-10-03
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 |
|---|---|---|---|---|
| I20231006000089 | I | Diagnostic Radiology | NY | TBD |
| I20251003001330 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 76770 | Complete ultrasound scan behind abdominal cavity | 59 | 59 | $0 |
| 71045 | X-ray of chest, 1 view | 51 | 51 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 45 | 45 | $0 |
| 76705 | Limited ultrasound scan of abdomen | 24 | 24 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 23 | 23 | $0 |
Insurance plans in this area (ZIP 33021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| - | KS | |
| - | KS | |
| Diagnostic Radiology | IN |
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