SCOTT JACOBSEN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1386674950
Foot & Ankle Surgery Podiatrist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
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Provider Addresses for SCOTT JACOBSEN (DPM)
900 Rand Road, 900, East Rand Road, Des Plaines, Maine Township, Cook County, Illinois, 60016, United States
SUITE 300
DES PLAINES, IL 600162359
Phone: (847) 324-3976
Fax: (847) 929-1154
Type: Mailing
Illinois Bone and Joint Institute, 720, Florsheim Drive, Libertyville, Lake County, Illinois, 60048, United States
LIBERTYVILLE, IL 600483757
Phone: (847) 247-4000
Fax: (847) 234-2090
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $558.
Total Amount is formed as General ($558) + Research ($0) + Ownership ($0) = $558.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($264).
Total Amount
$558
General + Research + Ownership
Payments
16
Total payment records
General Amount
$558
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $264 |
| Organogenesis Inc. | $252 |
| MIMEDX Group, Inc. | $23 |
| Lightbody Medical Technologies Inc | $19 |
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: 2004-02-25
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 |
|---|---|---|---|---|
| I20040225000237 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 1,077 | 303 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 632 | 314 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 241 | 241 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 119 | 106 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 71 | 48 | $0 |
Insurance plans in this area (ZIP 60016)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Sports Medicine, Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL |
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