JACOB IVEY (DPM) – Podiatrist, NPI 1891374302

JACOB IVEY (DPM) is a healthcare provider. based in Celebration, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO4464 (FL). The NPI Number for JACOB IVEY (DPM) is 1891374302

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JACOB IVEY (DPM)
NPI
1891374302
Phone
(407) 557-3018
Address
1530 Celebration Blvd Ste 402
Enumeration Date
3 April 2021
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
ARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN
Secondary Phone
4076052321
Graduation Year
2021 (5 years ago)
PAC ID
2769891613
Group Practice PAC ID
0042252140
Professional Enrollment ID
I20240514003841
Address ID
FL347875773WI15815DRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for JACOB IVEY (DPM)

  • 1530 Celebration Blvd Ste 402

    Celebration, FL 347475165

    Phone: (407) 557-3018

    Fax: (321) 296-7192

    Type: Location

  • 15815 SHADDOCK DR STE 130

    WINTER GARDEN, FL 347875773

    Phone: (813) 400-1140

    Fax: (813) 701-9132

    Type: Mailing

  • 2427 WILDWOOD CT

    WINTER HAVEN, FL 338843037

    Phone: (832) 454-1830

    Type: Mailing

  • 7727 LAKE UNDERHILL RD

    ORLANDO, FL 328228224

    Phone: (407) 303-8683

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $2,851.

Total Amount is formed as General ($2,851) + Research ($0) + Ownership ($0) = $2,851.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Stryker Corporation ($1,885).

Total Amount

$2,851

General + Research + Ownership

Payments

39

Total payment records

General Amount

$2,851

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2024-05-14

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
I20240514003841IPodiatryFLTBD

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 34747)

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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: 0042252140View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YNJ
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YKY
P O D I A T R YFL
P O D I A T R YFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the registry number for JACOB IVEY (DPM)?
The registry entry for JACOB IVEY (DPM) shows NPI 1891374302.
Is JACOB IVEY (DPM)'s NPI status active today?
Active status means JACOB IVEY (DPM)'s NPI record is not deactivated in the public file.
What does the directory say JACOB IVEY (DPM) does?
Insurance directories may phrase it differently, but here JACOB IVEY (DPM) maps to Podiatrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JACOB IVEY (DPM)?
JACOB IVEY (DPM) is associated with Celebration, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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