DR. MARK EDWARD JACOBSON (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1053561449
Orthopaedic Surgery of the Spine Physician
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NPPES metrics only — not quality of care.
1,082 ORTHOPEDIC SURGERY in MI
Provider Addresses for DR. MARK EDWARD JACOBSON (M.D.)
3535 W 13 Mile Rd Ste 742
Royal Oak, MI 480736770
Phone: (248) 551-9100
Fax: (248) 551-9131
Type: Location
4550 Investment Dr Ste 100
Troy, MI 480986334
Phone: (248) 265-4600
Fax: (248) 265-4605
Type: Location
17877 W 14 Mile Rd
Beverly Hills, MI 480253127
Phone: (248) 644-3920
Fax: (844) 598-9632
Type: Location
24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 480254345
Phone: (248) 988-8085
Fax: (844) 598-9635
Type: Location
4967 Crooks Rd Ste 100
Troy, MI 480985812
Phone: (248) 846-8060
Fax: (833) 303-1612
Type: Location
26025 Lahser Rd Fl 2
Southfield, MI 480332606
Phone: (248) 663-1900
Fax: (844) 598-9633
Type: Location
45816 Schoenherr Rd
Shelby Twp, MI 483156028
Phone: (586) 842-2400
Fax: (833) 561-1976
Type: Location
26750 Providence Pkwy Ste 220
Novi, MI 483741212
Phone: (248) 596-0412
Fax: (833) 471-5849
Type: Location
33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 483223586
Phone: (248) 855-7400
Fax: (844) 598-9634
Type: Location
1350 Kirts Blvd Ste 160
Troy, MI 480844852
Phone: (248) 244-9426
Fax: (844) 607-0511
Type: Location
370, 120th Avenue, Holland Charter Township, Ottawa County, Michigan, 49424, United States
HOLLAND, MI 494242196
Phone: (616) 396-5855
Fax: (616) 396-5720
Type: Location
30575 WOODWARD AVE STE 100
ROYAL OAK, MI 480730986
Phone: (248) 280-8550
Fax: (248) 280-8571
Type: Mailing
26211 CENTRAL PARK BLVD STE 201
SOUTHFIELD, MI 480764158
Phone: (833) 667-3627
Fax: (833) 972-5509
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $3,340.
Total Amount is formed as General ($3,340) + Research ($0) + Ownership ($0) = $3,340.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Stryker Corporation ($1,741).
Total Amount
$3,340
General + Research + Ownership
Payments
39
Total payment records
General Amount
$3,340
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,741 |
| ZIMVIE INC. | $265 |
| Medtronic, Inc. | $258 |
| Globus Medical, Inc. | $257 |
| Boston Scientific Corporation | $167 |
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: 2014-07-15
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 |
|---|---|---|---|---|
| I20140715002305 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 72100 | X-ray of lower and sacral spine, 2-3 views | 299 | 202 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 289 | 207 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 200 | 190 | $0 |
| 72170 | X-ray of pelvis, 1-2 views | 160 | 158 | $0 |
| 72050 | X-ray of upper spine, 4-5 views | 72 | 67 | $0 |
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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