DR. JARED YADON KOHLBACHER (DPM) – Foot Surgery Podiatrist, NPI 1386925055

DR. JARED YADON KOHLBACHER (DPM) is a healthcare provider. based in Presque isle, Maine. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD1089 (ME). The NPI Number for DR. JARED YADON KOHLBACHER (DPM) is 1386925055

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED YADON KOHLBACHER (DPM)
NPI
1386925055
Phone
(207) 764-3734
Address
140 ACADEMY ST STE 10
Enumeration Date
7 September 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
8628201126
Group Practice PAC ID
4284642950
Professional Enrollment ID
I20140508000666
Address ID
ME044240000DA201XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

69 PODIATRY in ME

Provider Addresses for DR. JARED YADON KOHLBACHER (DPM)

  • 140 ACADEMY ST STE 10

    PRESQUE ISLE, ME 047693102

    Phone: (207) 764-3734

    Type: Location

  • 91 MOOSE RIDGE RD

    MAPLETON, ME 047574156

    Phone: (207) 768-8309

    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: 2014-05-08

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
I20140508000666IPodiatryMETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11479$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
View full utilization report →

Insurance plans in this area (ZIP 04769)

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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: 4284642950View full group profile
NameSpecialtyState
Nurse PractitionerME
Physician AssistantME
Nurse PractitionerME
Clinical Social WorkerNY
Physician AssistantME
-ME
Family Practice, Internal MedicineME

Reviews

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Frequently asked questions

How do I look up DR. JARED YADON KOHLBACHER (DPM) by NPI?
Use NPI 1386925055 when you need to reference DR. JARED YADON KOHLBACHER (DPM) in forms, claims, or directories.
Is DR. JARED YADON KOHLBACHER (DPM)'s NPI currently valid?
The extract we use shows DR. JARED YADON KOHLBACHER (DPM) as active.
What does DR. JARED YADON KOHLBACHER (DPM) treat or focus on?
Patients typically see DR. JARED YADON KOHLBACHER (DPM) under the specialty Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JARED YADON KOHLBACHER (DPM)?
The snapshot lists Presque Isle, Maine for DR. JARED YADON KOHLBACHER (DPM); download NPPES for the complete set.
Is DR. JARED YADON KOHLBACHER (DPM) a real provider?
This page reflects official NPPES data for NPI 1386925055. Always confirm identity and privileges with the practice and licensing boards.

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