JACOB SADECK (PA-C) – Medical Physician Assistant, NPI 1073943429

JACOB SADECK (PA-C) is a healthcare provider. based in Weymouth, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4871 (MA). The NPI Number for JACOB SADECK (PA-C) is 1073943429

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JACOB SADECK (PA-C)
NPI
1073943429
Phone
(781) 624-8000
Address
55 Fogg Rd
Enumeration Date
21 November 2013
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817924136
Graduation Year
2013 (13 years ago)
PAC ID
4688897903
Group Practice PAC ID
7113029257
Professional Enrollment ID
I20140514000284
Address ID
MA021902432WE55XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for JACOB SADECK (PA-C)

  • 55 Fogg Rd

    Weymouth, MA 021902432

    Phone: (781) 624-8000

    Type: Location

  • PO BOX 1070

    FALL RIVER, MA 027221070

    Phone: (508) 676-3292

    Fax: (508) 672-7181

    Type: Mailing

  • 901 S MAIN ST

    PRIMA CARE, PC

    FALL RIVER, MA 027242943

    Phone: (508) 673-4329

    Fax: (508) 679-6669

    Type: Location

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: 2016-03-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140514000284IPhysician AssistantMATBD
I20160307000412IPhysician AssistantRITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02190)

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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: 7113029257View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyMA
-MA
Physician AssistantMA
General SurgeryNJ
U R O L O G YMA
Internal MedicineME
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
Emergency MedicineMA

Reviews

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Frequently asked questions

Is there an official ID for JACOB SADECK (PA-C) in U.S. healthcare records?
The official identifier for JACOB SADECK (PA-C) is NPI 1073943429.
Is JACOB SADECK (PA-C) still an active registrant?
JACOB SADECK (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to JACOB SADECK (PA-C)?
JACOB SADECK (PA-C)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is JACOB SADECK (PA-C) registered?
Use Weymouth, Massachusetts as the headline location for JACOB SADECK (PA-C) here.
Does JACOB SADECK (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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