DR. MARK A JACOBS (O.D.) – Optometrist, NPI 1124023809
Optometrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
700 OPTOMETRY in KY
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Provider Addresses for DR. MARK A JACOBS (O.D.)
306, Vairo Boulevard, State College, Centre County, Pennsylvania, 16803, United States
FERGUSON, KY 425330306
Phone: (606) 492-2211
Fax: (606) 676-0873
Type: Mailing
Highway, Martock, Ash, South Somerset, Somerset, South West England, England, TA12 6NT, United Kingdom
SUITE 1
SOMERSET, KY 425013073
Phone: (606) 678-4551
Fax: (606) 678-0972
Type: Location
127 Foothills Ave Ste 3
Albany, KY 426021037
Phone: (606) 387-5612
Fax: (606) 387-6602
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $224.
Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($59).
Total Amount
$224
General + Research + Ownership
Payments
9
Total payment records
General Amount
$224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $59 |
| Astellas Pharma US Inc | $42 |
| Carl Zeiss Meditec USA, Inc. | $40 |
| BIOTISSUE HOLDINGS, INC. | $38 |
| Alcon Vision LLC | $30 |
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: 2010-06-15
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 |
|---|---|---|---|---|
| I20100615000124 | I | Optometry | KY | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,339 | 13 | $0 |
| 92014 | Established patient complete exam of visual system | 250 | 249 | $0 |
| 92012 | Established patient problem focused exam of visual system | 217 | 154 | $0 |
| 92004 | New patient complete exam of visual system | 51 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 35 | $0 |
Insurance plans in this area (ZIP 42533)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | KY | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 297 | 235 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY | |
| - | KY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | KY | |
| - | KY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | KY |
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