DR. JACOB LENNERT (MD) – Family Medicine Physician, NPI 1164009593
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. JACOB LENNERT (MD)
2200 STATE ST
LAWRENCEVILLE, IL 624391852
Phone: (618) 943-1000
Fax: (618) 943-1000
Type: Mailing
1707 N MAIN ST
GAINESVILLE, FL 326093650
Phone: (352) 265-1234
Type: Location
PO BOX 100237
GAINESVILLE, FL 326103001
Phone: (352) 265-1234
Fax: (352) 265-9584
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($43).
Total Amount
$190
General + Research + Ownership
Payments
10
Total payment records
General Amount
$190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-23
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 |
|---|---|---|---|---|
| I20240723004067 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Diagnostic Radiology, Nuclear Medicine | NJ | |
| Diagnostic Radiology | IL | |
| Emergency Medicine | MO | |
| Family Practice | IL | |
| Family Practice, Peripheral Vascular Disease | IL | |
| Nurse Practitioner | IN | |
| P O D I A T R Y | IN | |
| Diagnostic Radiology | VA | |
| General Surgery | IN |
Reviews
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