DR. JACOB H REISNER (D.O.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1033503594
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
244 SPORTS MEDICINE in MI
Provider Addresses for DR. JACOB H REISNER (D.O.)
4100 LAKE DR SE STE 300
GRAND RAPIDS, MI 495468292
Phone: (616) 267-8860
Type: Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 495258614
Phone: (616) 267-8860
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $996.
Total Amount is formed as General ($996) + Research ($0) + Ownership ($0) = $996.
Last reported payment date: 2023-12-01 • Largest payer in this snapshot: LIGHTBODY MEDICAL TECHNOLOGIES INC ($667).
Total Amount
$996
General + Research + Ownership
Payments
7
Total payment records
General Amount
$996
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LIGHTBODY MEDICAL TECHNOLOGIES INC | $667 |
| Arthrex, Inc. | $278 |
| MY01 Inc. | $51 |
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: 2020-05-11
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 |
|---|---|---|---|---|
| I20200511003138 | I | Sports Medicine | MI | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,935 | 31 | $0 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,260 | 14 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 107 | 75 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 91 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 52 | $0 |
Insurance plans in this area (ZIP 49546)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Sports Medicine, Family Practice | MI | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| Nurse Practitioner | MI | |
| N E U R O S U R G E R Y | IL | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI |
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