JACOB LEEDEKERKEN – Emergency Medicine Physician, NPI 1003312067
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,513 EMERGENCY MEDICINE in GA
Provider Addresses for JACOB LEEDEKERKEN
743 SPRING ST NE
GAINESVILLE, GA 305013715
Phone:
Type: Mailing
813, 12th Street Northeast, Stanton Park, Near Northeast, Washington, Washington, D.C., 20002, United States
WASHINGTON, DC 200024435
Phone: (770) 598-9580
Type: Mailing
Carolinas Medical Center, 1000, Blythe Boulevard, Midtown, Charlotte, Mecklenburg County, North Carolina, 28203, United States
CHARLOTTE, NC 282035812
Phone: (704) 355-3181
Type: Location
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 $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Pharming Healthcare, Inc. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharming Healthcare, Inc. | $28 |
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: 2024-12-27
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 |
|---|---|---|---|---|
| I20210714000693 | I | Emergency Medicine | GA | TBD |
| I20241227001924 | I | Emergency Medicine | MS | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 285 | 272 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 193 | 186 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 102 | 101 | $0 |
| 99291 | Critical care, first 30-74 minutes | 75 | 74 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MS | |
| Emergency Medicine | PA | |
| Emergency Medicine | MS | |
| Nurse Practitioner | MS | |
| Emergency Medicine | MS | |
| Emergency Medicine | SC | |
| Emergency Medicine | TN | |
| Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | MS | |
| Emergency Medicine | MS |
Reviews
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