JACOB DELAROSA (MD) – Cardiovascular Disease Physician, NPI 1083759880
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
26 THORACIC SURGERY in ID
Provider Addresses for JACOB DELAROSA (MD)
777 HOSPITAL WAY STE 215
POCATELLO, ID 832015162
Phone: (208) 239-2580
Fax: (208) 239-2589
Type: Mailing
651 MEMORIAL DR
POCATELLO, ID 832014071
Phone: (208) 239-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $76,600.
Total Amount is formed as General ($76,600) + Research ($0) + Ownership ($0) = $76,600.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Arthrex, Inc. ($27,191).
Total Amount
$76,600
General + Research + Ownership
Payments
116
Total payment records
General Amount
$76,600
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $27,191 |
| Edwards Lifesciences Corporation | $24,091 |
| Medtronic, Inc. | $18,803 |
| Active Medical, LLC | $2,324 |
| ABIOMED | $1,358 |
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: 2004-10-19
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 |
|---|---|---|---|---|
| I20041019000041 | I | Cardiac Surgery | ID | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 38 | 38 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 27 | 27 | $0 |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 21 | 21 | $0 |
| 33508 | Harvest of vein using an endoscope | 16 | 16 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 15 | 15 | $0 |
Insurance plans in this area (ZIP 83201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| N E U R O S U R G E R Y | WA | |
| Internal Medicine | ID | |
| Qualified Audiologist | ID | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | MI | |
| Physician Assistant | ID | |
| - | ID | |
| Physician Assistant | NY |
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