DR. JACOB STEPHEN (M.D) – Interventional Cardiology Physician, NPI 1174624415
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
464 INTERVENTIONAL CARDIOLOGY in IL
Provider Addresses for DR. JACOB STEPHEN (M.D)
5 Kish Hospital Dr Ste 103
Dekalb, IL 601159602
Phone: (630) 232-0280
Fax: (630) 232-3895
Type: Location
DeKalb Clinic, 1850, Gateway Drive, Sycamore, DeKalb County, Illinois, 60178, United States
SYCAMORE, IL 601783192
Phone: (630) 232-0280
Fax: (630) 232-3895
Type: Mailing
5 KISH HOSPITAL DR STE 103
DEKALB, IL 601159602
Phone: (630) 232-0280
Fax: (630) 232-3895
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Medtronic, Inc. ($34).
Total Amount
$79
General + Research + Ownership
Payments
4
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $34 |
| Boston Scientific Corporation | $23 |
| CORDIS US CORP. | $23 |
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: 2016-10-12
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 |
|---|---|---|---|---|
| I20161012001285 | I | Interventional Cardiology | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 478 | 464 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 318 | 294 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 307 | 187 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 203 | 187 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 136 | 136 | $0 |
Insurance plans in this area (ZIP 60115)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | IL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 35 | 35 |
| INTERVENTIONAL CARDIOLOGY | IL | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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