JAMIE JACOBSOHN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1386606432
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 PATHOLOGY in NY
Provider Addresses for JAMIE JACOBSOHN (M.D.)
DEPT 77-9452
CHICAGO, IL 606789452
Phone: (847) 676-0091
Fax: (847) 676-2374
Type: Mailing
545 W 45TH ST FL 7
NEW YORK, NY 100363409
Phone: (917) 441-0006
Type: Mailing
9200 W WISCONSIN AVE
MILWAUKEE, WI 532263522
Phone: (414) 805-6966
Fax: (414) 805-6980
Type: Mailing
5, Revere Drive, Woodridge, Highland Park, Northbrook, Cook County, Illinois, 60062, United States
SUITE 200
NORTHBROOK, IL 600621566
Phone: (847) 498-7512
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($68).
Total Amount
$68
General + Research + Ownership
Payments
1
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Carl Zeiss Meditec USA, Inc. | $68 |
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: 2024-10-21
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 |
|---|---|---|---|---|
| I20241021004354 | I | Pathology | WI | 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 60678)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Orthopedic Surgery | IL | |
| - | WI |
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