DR. GARY M. JACOBSON (M.D.) – Vascular Surgery Physician, NPI 1760475594
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
218 VASCULAR SURGERY in GA
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Provider Addresses for DR. GARY M. JACOBSON (M.D.)
61, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
SUITE 2100
MARIETTA, GA 30060
Phone: (770) 423-0595
Fax: (770) 874-1614
Type: Location
60 CHASTAIN CENTER BLVD NW STE 66
KENNESAW, GA 301445598
Phone: (770) 423-0595
Fax: (678) 391-5055
Type: Mailing
130, Stoneforest Drive, Deer Run at Towne Lake, Woodstock, Cherokee County, Georgia, 30189, United States
WOODSTOCK, GA 301894881
Phone: (770) 423-0595
Fax: (678) 388-1627
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $3,163.
Total Amount is formed as General ($3,163) + Research ($0) + Ownership ($0) = $3,163.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($548).
Total Amount
$3,163
General + Research + Ownership
Payments
81
Total payment records
General Amount
$3,163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $548 |
| W. L. Gore & Associates, Inc. | $537 |
| CVRx, Inc. | $373 |
| Penumbra, Inc. | $244 |
| AngioDynamics, Inc. | $230 |
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: 2010-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101207000159 | I | Vascular Surgery | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 180 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 87 | 85 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 75 | 21 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 64 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 58 | $0 |
Insurance plans in this area (ZIP 30060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Vascular Surgery | TN | |
| Physician Assistant | GA | |
| Vascular Surgery, General Surgery | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Vascular Surgery, Undersea And Hyperbaric Medicine | GA | |
| Nurse Practitioner | GA | |
| Vascular Surgery | GA |
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