JACOB MANOJ KITCHENER (MD) – Neurology Physician, NPI 1003818733
Neurology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,188 NEUROLOGY in IL
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Provider Addresses for JACOB MANOJ KITCHENER (MD)
421, North 9th Street, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627025317
Phone: (217) 757-6868
Fax: (177) 576-8672
Type: Mailing
One Hospital Dr
Columbia, MO 652120001
Phone: (573) 882-1515
Fax: (573) 884-0070
Type: Location
30 E Apple St Ste 5254A
Dayton, OH 454092939
Phone: (937) 208-4200
Fax: (937) 208-4205
Type: Location
3 Saint Elizabeth Blvd
O Fallon, IL 622691281
Phone: (618) 641-5803
Fax: (618) 607-5116
Type: Location
301 N 8th St
Springfield, IL 627011041
Phone: (217) 528-7541
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $1,596.
Total Amount is formed as General ($1,596) + Research ($0) + Ownership ($0) = $1,596.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($486).
Total Amount
$1,596
General + Research + Ownership
Payments
35
Total payment records
General Amount
$1,596
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $486 |
| Penumbra, Inc. | $254 |
| MicroVention, Inc. | $187 |
| Vanda Pharmaceuticals Inc. | $109 |
| MDD US Operations, LLC | $84 |
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: 2015-06-22
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 |
|---|---|---|---|---|
| I20100610000997 | I | Interventional Radiology | MO | TBD |
| I20150622000702 | I | Neurology | IL | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 234 | 124 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 113 | 113 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 91 | 89 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 57 | 38 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 36 | 35 | $0 |
Insurance plans in this area (ZIP 62702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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