DR. ROBERT L. JACOBSON (M.D.) – Maternal & Fetal Medicine Physician, NPI 1174590152
Maternal & Fetal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
962 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for DR. ROBERT L. JACOBSON (M.D.)
7120 Clearvista Dr Ste 5900
Indianapolis, IN 462561714
Phone: (317) 621-1338
Fax: (317) 621-9211
Type: Location
4801 Alberta Ave
El Paso, TX 799052707
Phone: (915) 215-5000
Fax: (915) 215-8662
Type: Location
601 S Floyd St Ste 700
Louisville, KY 402021845
Phone: (502) 629-7181
Fax: (502) 629-6957
Type: Location
Columbus, Jane Haining rakpart, Lipótváros, 5th district, Budapest, Central Hungary, Hungary
COLUMBUS, GA 319021038
Phone: (706) 571-1285
Fax: (706) 660-6518
Type: Mailing
1968, North Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31901, United States
COLUMBUS, GA 319011525
Phone: (706) 571-1285
Fax: (706) 660-6518
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20120725000970 | I | Obstetrics/Gynecology | TX | TBD |
| I20190722002179 | I | Obstetrics/Gynecology | NC | TBD |
| I20200108002390 | I | Obstetrics/Gynecology | IN | TBD |
| I20210712003612 | I | Obstetrics/Gynecology | KY | TBD |
| I20230215002811 | I | Obstetrics/Gynecology | WA | 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 46256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
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