DR. STEPHEN PETER JACOBSEN (MD) – Orthopaedic Surgery Physician, NPI 1033377791
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
668 ORTHOPEDIC SURGERY in IN
Provider Addresses for DR. STEPHEN PETER JACOBSEN (MD)
14535A HAZEL DELL PKWY
CARMEL, IN 460339401
Phone: (317) 770-3777
Fax: (317) 705-4391
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606775985
Phone: (317) 770-6900
Fax: (317) 770-6911
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $2,079.
Total Amount is formed as General ($2,079) + Research ($0) + Ownership ($0) = $2,079.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ENCORE MEDICAL, LP ($1,098).
Total Amount
$2,079
General + Research + Ownership
Payments
20
Total payment records
General Amount
$2,079
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ENCORE MEDICAL, LP | $1,098 |
| Stryker Corporation | $463 |
| Arthrex, Inc. | $264 |
| DePuy Synthes Sales Inc. | $217 |
| Crossroads Orthopedics, LLC | $20 |
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: 2012-07-23
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 |
|---|---|---|---|---|
| I20120723000077 | I | Orthopedic Surgery | IN | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 596 | 53 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 216 | 152 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 197 | 116 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 172 | 52 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 161 | 109 | $0 |
Insurance plans in this area (ZIP 46033)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | IN | |
| Internal Medicine | IL | |
| Nurse Practitioner | IN | |
| - | OH | |
| Emergency Medicine | IN | |
| Physician Assistant | PA | |
| Emergency Medicine | TN | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN |
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