JACOB GEORGE FLYNN (M.D.) – Family Medicine Physician, NPI 1104114230

JACOB GEORGE FLYNN (M.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301099491 (MI). The NPI Number for JACOB GEORGE FLYNN (M.D.) is 1104114230

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JACOB GEORGE FLYNN (M.D.)
NPI
1104114230
Phone
(231) 935-8000
Address
1400 MEDICAL CAMPUS DR
Enumeration Date
11 July 2011
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2312757965
Graduation Year
2010 (16 years ago)
PAC ID
7315162948
Group Practice PAC ID
0648259010
Professional Enrollment ID
I20140715001549
Address ID
MI496439264IN1975XDRXX300
Telehealth
Yes

Contacts

Secure Messaging
jacobflynn@clhcmi.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

Provider Addresses for JACOB GEORGE FLYNN (M.D.)

  • 1400 MEDICAL CAMPUS DR

    TRAVERSE CITY, MI 496847823

    Phone: (231) 935-8000

    Fax: (231) 935-8099

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $634.

Total Amount is formed as General ($634) + Research ($0) + Ownership ($0) = $634.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: ABBVIE INC. ($232).

Total Amount

$634

General + Research + Ownership

Payments

32

Total payment records

General Amount

$634

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140715001549IFamily PracticeMITBD

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 minutes527283$0
99213Established patient office or other outpatient visit, 20-29 minutes281178$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit265265$0
G0444Annual depression screening, 5 to 15 minutes136136$0
G0008Administration of influenza virus vaccine6363$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 0648259010View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference JACOB GEORGE FLYNN (M.D.)?
For JACOB GEORGE FLYNN (M.D.), use NPI 1104114230 as the unique 10-digit identifier.
Would JACOB GEORGE FLYNN (M.D.) appear as active to a payer?
You can treat JACOB GEORGE FLYNN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JACOB GEORGE FLYNN (M.D.)?
JACOB GEORGE FLYNN (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JACOB GEORGE FLYNN (M.D.) located near Traverse City?
JACOB GEORGE FLYNN (M.D.) currently maps to Traverse City, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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