DR. BLAKE JACOBS (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1588191498
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
Provider Addresses for DR. BLAKE JACOBS (MD)
PO BOX 7411626
CHICAGO, IL 606745626
Phone:
Type: Mailing
3800 S NATIONAL AVE STE 510
SPRINGFIELD, MO 658075284
Phone: (417) 875-3160
Type: Location
525 Branson Landing Blvd Ste 306
Branson, MO 656162140
Phone: (417) 335-7559
Type: Location
Stanton L Young Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States
OKLAHOMA CITY, OK 731045018
Phone:
Type: Mailing
800, Stanton L Young Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States
OKLAHOMA CITY, OK 731045018
Phone: (405) 271-5963
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 $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $26 |
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: 2025-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190912000564 | I | Pulmonary Disease | OK | TBD |
| I20250711000209 | I | Internal Medicine | MO | 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 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physical Medicine And Rehabilitation | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| Clinical Psychologist | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| - | MD | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Nurse Practitioner | MO |
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