DR. ALEX JACOBSON (MD) – Vascular & Interventional Radiology Physician, NPI 1730686999
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,952 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for DR. ALEX JACOBSON (MD)
22 Patriot Pl Fl 3
Foxborough, MA 020351375
Phone: (617) 732-5500
Type: Location
850 Boylston St Ste 130
Chestnut Hill, MA 024672405
Phone: (617) 732-5500
Type: Location
Lemuel Shattuck Hospital, 170, Morton Street, Forest Hills, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02131, United States
170 MORTON STREET
JAMAICA PLAIN, MA 02130
Phone: (617) 971-3337
Fax: (617) 971-3852
Type: Location
75 FRANCIS ST
BOSTON, MA 021156106
Phone: (617) 732-5500
Type: Location
11, Eaton Street, Winchester, Middlesex County, Massachusetts, 01890, United States
WINCHESTER, MA 018902108
Phone: (617) 775-1741
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $149.
Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Penumbra, Inc. ($149).
Total Amount
$149
General + Research + Ownership
Payments
1
Total payment records
General Amount
$149
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $149 |
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: 2024-08-01
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 |
|---|---|---|---|---|
| I20240801002816 | I | Diagnostic Radiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | MD | |
| - | MA | |
| Critical Care (Intensivists), Pulmonary Disease | FL | |
| Physician Assistant | MA | |
| N E U R O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Orthopedic Surgery | MA | |
| Physician Assistant | NH | |
| Nurse Practitioner | MA | |
| P A T H O L O G Y | MA |
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