JACOB F. KALLENBERG – Emergency Medicine Physician, NPI 1093125171
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,682 EMERGENCY MEDICINE in MA
Provider Addresses for JACOB F. KALLENBERG
41 SAINT MARYS RD
MILTON, MA 021862034
Phone: (513) 543-4253
Type: Mailing
1 BOSTON MEDICAL CTR PL
BOSTON, MA 021182908
Phone: (617) 414-5481
Fax: (617) 414-5481
Type: Mailing
55 Fogg Rd
Weymouth, MA 021902432
Phone: (781) 624-8000
Type: Location
235 N PEARL ST
BROCKTON, MA 023011794
Phone: (508) 427-3075
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: 2019-03-15
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 |
|---|---|---|---|---|
| I20190315002402 | I | Emergency Medicine | MA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 327 | 311 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 219 | 204 | $0 |
| 99291 | Critical care, first 30-74 minutes | 76 | 76 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 62 | 53 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | 17 | $0 |
Insurance plans in this area (ZIP 02186)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Physician Assistant | MA | |
| - | MA |
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