DR. JACOB WHITE (MD) – Vascular & Interventional Radiology Physician, NPI 1386969210
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
513 INTERVENTIONAL RADIOLOGY in NY
Provider Addresses for DR. JACOB WHITE (MD)
PO BOX 32
NORTHBROOK, IL 600650032
Phone: (224) 318-0118
Fax: (847) 919-4615
Type: Mailing
300 Community Dr
Manhasset, NY 110303816
Phone: (516) 562-0100
Type: Location
1264, Saint Nicholas Avenue, Washington Heights, Manhattan Community Board 12, Manhattan, New York County, New York, 10033, United States
NEW YORK, NY 100337263
Phone: (347) 532-1845
Fax: (718) 301-1099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Boston Scientific Corporation ($52).
Total Amount
$97
General + Research + Ownership
Payments
3
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-19
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: 2023-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20171113001088 | I | Interventional Radiology | NY | TBD |
| I20180222000002 | I | Diagnostic Radiology | IL | TBD |
| I20190530002694 | I | Interventional Radiology | NJ | TBD |
| I20231204002751 | I | Interventional Radiology | TX | 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 |
|---|---|---|---|---|
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 153 | 121 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 97 | 97 | $0 |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 69 | 33 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 64 | 40 | $0 |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 60 | 30 | $0 |
Insurance plans in this area (ZIP 60065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | PA | |
| Interventional Radiology | NJ | |
| Vascular Surgery | NJ | |
| General Surgery | NJ | |
| General Surgery | PA | |
| Interventional Radiology, Diagnostic Radiology | NJ |
Reviews
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