JACOB WILLIAM VINCENT (MD) – Family Medicine Physician, NPI 1629075692
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for JACOB WILLIAM VINCENT (MD)
3615 E JOHN ROWAN BLVD STE 104
BARDSTOWN, KY 400043264
Phone: (502) 348-5968
Fax: (270) 706-5802
Type: Mailing
South 5th Street, Bardstown, Nelson County, Kentucky, 40004, United States
BARDSTOWN, KY 400041142
Phone: (502) 348-5968
Fax: (502) 349-0963
Type: Mailing
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: 2009-12-19
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 |
|---|---|---|---|---|
| I20091219000002 | I | Family Practice | 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 |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 235 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 148 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 65 | 60 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 52 | 49 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 52 | 52 | $0 |
Insurance plans in this area (ZIP 40004)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
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