DR. JACOB E PERRY (M.D.) – Surgery Physician, NPI 1063663284

DR. JACOB E PERRY (M.D.) is a healthcare provider. based in Morehead, Kentucky. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 44487 (KY). The NPI Number for DR. JACOB E PERRY (M.D.) is 1063663284

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB E PERRY (M.D.)
NPI
1063663284
Phone
(606) 784-7551
Address
425 CLINIC DR
Enumeration Date
7 October 2008
Last Update Date
3 March 2016

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
6067805500
Graduation Year
2006 (20 years ago)
PAC ID
2567640006
Group Practice PAC ID
4486559085
Professional Enrollment ID
I20110701000286
Address ID
KY403511015MO245XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

539 GENERAL SURGERY in KY

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Provider Addresses for DR. JACOB E PERRY (M.D.)

  • 425, Clinic Drive, Morehead, Rowan County, Kentucky, 40351, United States

    MOREHEAD, KY 403511077

    Phone: (606) 784-7551

    Fax: (606) 784-1184

    Mailing address matches the actual address.

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 $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Davol Inc. ($36).

Total Amount

$36

General + Research + Ownership

Payments

1

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$36
View all Open Payments →|Open Payments Risk Radar →

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: 2011-07-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110701000286IGeneral SurgeryKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes4538$0
99214Established patient office or other outpatient visit, 30-39 minutes3228$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
99213Established patient office or other outpatient visit, 20-29 minutes2015$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 40351)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486559085View full group profile
NameSpecialtyState
Vascular SurgeryAZ
Family PracticeKY
Physician AssistantKY
General SurgeryKY
Clinical Social WorkerKY
Family PracticeKY
Family PracticeKY
Orthopedic SurgeryIN
Hematology/Oncology, Internal MedicineKY
-KY

Reviews

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Frequently asked questions

Is DR. JACOB E PERRY (M.D.) listed with a National Provider Identifier?
Yes — DR. JACOB E PERRY (M.D.) has NPI 1063663284 on file in the registry.
Active or inactive — what applies to DR. JACOB E PERRY (M.D.)?
You should see DR. JACOB E PERRY (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. JACOB E PERRY (M.D.)?
DR. JACOB E PERRY (M.D.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JACOB E PERRY (M.D.)?
Travel planning: use Morehead, Kentucky as the reference point for DR. JACOB E PERRY (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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