JACOB ANTHONY BEZOLD (MD) – Addiction Medicine (Internal Medicine) Physician, NPI 1821651282
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 INTERNAL MEDICINE in TN
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Provider Addresses for JACOB ANTHONY BEZOLD (MD)
18663, Running Deer Lane, Greendale, Lawrenceburg Township, Dearborn County, Indiana, 47025, United States
GREENDALE, IN 470257589
Phone: (513) 205-2372
Type: Mailing
Madison Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38163, United States
MEMPHIS, TN 381033438
Phone: (901) 448-5814
Type: Location
1300 Wesley Dr
Memphis, TN 381166426
Phone: (901) 516-5741
Fax: (901) 516-5986
Type: Location
1265 Union Ave
Memphis, TN 381043415
Phone: (901) 516-2362
Fax: (901) 516-8254
Type: Location
1200 PEABODY AVE
MEMPHIS, TN 381044506
Phone:
Fax: (901) 805-6300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $316.
Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Braeburn Inc. ($215).
Total Amount
$316
General + Research + Ownership
Payments
14
Total payment records
General Amount
$316
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $215 |
| Alkermes, Inc. | $101 |
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: 2025-10-28
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 |
|---|---|---|---|---|
| I20240731002367 | I | Internal Medicine | TN | TBD |
| I20251028000037 | I | Internal Medicine | AR | 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 47025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Family Practice, Geriatric Medicine | KY | |
| Internal Medicine | NY | |
| Internal Medicine | TN | |
| Pulmonary Disease, Critical Care (Intensivists) | TN | |
| - | MO | |
| Internal Medicine | TN | |
| Internal Medicine | SC | |
| - | TN | |
| Nurse Practitioner | TN |
Reviews
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