DR. STUART JACOBS (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1467418111
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
Provider Addresses for DR. STUART JACOBS (MD)
11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 468450025
Phone: (260) 266-5260
Fax: (260) 266-5279
Type: Location
12502 Willowbrook Rd
Cumberland, MD 215026491
Phone: (240) 964-8750
Fax: (240) 964-8699
Type: Location
424 Ben Oaks Dr E
Severna Park, MD 21146
Phone: (410) 215-8900
Type: Location
424, Ben Oaks Drive East, Ben Oaks, Severna Park, Anne Arundel County, Maryland, 21146, United States
SEVERNA PARK, MD 211462217
Phone: (410) 215-8900
Fax: (410) 766-0881
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2023-10-17 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($43).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $43 |
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: 2020-02-13
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 |
|---|---|---|---|---|
| I20040726000403 | I | Pulmonary Disease | MD | TBD |
| I20200213000863 | I | Critical Care (Intensivists) | DC | 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 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | TX | |
| Pulmonary Disease, Internal Medicine | CA | |
| Pulmonary Disease, Critical Care (Intensivists) | SC | |
| A N E S T H E S I O L O G Y | MI | |
| Nurse Practitioner | MO | |
| A N E S T H E S I O L O G Y | CA | |
| Internal Medicine | VA |
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