JACOB R. BLEDSOE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1649564626
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
801 PATHOLOGY in MA
Provider Addresses for JACOB R. BLEDSOE (MD)
55 Lake Ave N
Department of Anatomic Pathology
Worcester, MA 016550002
Phone: (508) 793-6100
Fax: (508) 793-6110
Type: Location
PO BOX 415348
BOSTON, MA 022415348
Phone:
Type: Mailing
55 LAKE AVE N
DEPARTMENT OF ANATOMIC PATHOLOGY
WORCESTER, MA 016550002
Phone: (508) 793-6100
Fax: (508) 793-6110
Type: Location
300 LONGWOOD AVE
BOSTON, MA 021155724
Phone: (617) 355-6000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2016-07-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20160722001766 | I | Pathology | 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 |
|---|---|---|---|---|
| 88189 | Flow cytometry technique for dna or cell analysis, 16 or more markers | 123 | 117 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 70 | 13 | $0 |
| 88188 | Flow cytometry technique for dna or cell analysis, 9 to 15 markers | 53 | 53 | $0 |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | 42 | 42 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 14 | 14 | $0 |
Insurance plans in this area (ZIP 01655)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | MA | 88342 | Tissue or cell analysis by immunologic technique | 89 | 76 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | NH | |
| P A T H O L O G Y | MA | |
| P A T H O L O G Y | MA | |
| P A T H O L O G Y | MA | |
| Pathology, Hematology | MA | |
| P A T H O L O G Y | MA | |
| - | TX | |
| P A T H O L O G Y | MA | |
| P A T H O L O G Y | MA | |
| P A T H O L O G Y | MA |
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