RANDALL S JACOBS (MD) – Gastroenterology Physician, NPI 1093798316

RANDALL S JACOBS (MD) is a healthcare provider. based in Farmington hills, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. ME164131 (FL). The NPI Number for RANDALL S JACOBS (MD) is 1093798316

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL S JACOBS (MD)
NPI
1093798316
Phone
(248) 985-5000
Address
30055 NORTHWESTERN HWY
Enumeration Date
21 November 2005
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2393436202
Graduation Year
1986 (40 years ago)
PAC ID
1557323169
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20231013003288
Address ID
FL339083630FO9800XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,474 GASTROENTEROLOGY in FL

Provider Addresses for RANDALL S JACOBS (MD)

  • 30055, Northwestern Highway, Farmington Hills, Southfield Township, Oakland County, Michigan, 48334, United States

    STE 250

    FARMINGTON HILLS, MI 483343230

    Phone: (248) 985-5000

    Fax: (248) 985-5500

    Type: Mailing

  • 6101 Pine Ridge Rd

    Naples, FL 341193900

    Phone: (239) 348-4367

    Fax: (238) 354-6393

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-6202

    Fax: (239) 343-4159

    Type: Mailing

  • 9800 S HEALTHPARK DR STE 110

    FORT MYERS, FL 339083630

    Phone: (239) 343-6202

    Fax: (239) 343-4159

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $3,487.

Total Amount is formed as General ($3,487) + Research ($0) + Ownership ($0) = $3,487.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($970).

Total Amount

$3,487

General + Research + Ownership

Payments

125

Total payment records

General Amount

$3,487

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100610000283IGastroenterologyMITBD
I20231013003288IGastroenterologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes218144$0
99213Established patient office or other outpatient visit, 20-29 minutes9169$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8484$0
45380Biopsy of large bowel using a flexible endoscope7171$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6461$0
View full utilization report →

Insurance plans in this area (ZIP 48334)

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Provider's Procedures

RANDALL S JACOBS (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMI43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2828
GASTROENTEROLOGYMI45378Diagnostic examination of large bowel using an endoscope2424

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

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Frequently asked questions

What unique ID ties claims to RANDALL S JACOBS (MD)?
NPI 1093798316 is assigned to RANDALL S JACOBS (MD) under the national enumeration system.
Is RANDALL S JACOBS (MD)'s NPI currently valid?
The extract we use shows RANDALL S JACOBS (MD) as active.
Can you summarize RANDALL S JACOBS (MD)'s specialty in plain language?
Clinically, the directory lists RANDALL S JACOBS (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What location shows for RANDALL S JACOBS (MD)?
We surface Farmington Hills, Michigan for RANDALL S JACOBS (MD) based on available NPPES addresses.
What if Farmington Hills, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.