DR. ANGELA RENEE JACOB (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1124430806
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
Provider Addresses for DR. ANGELA RENEE JACOB (D.P.M.)
6900 ORCHARD LAKE RD STE 207
WEST BLOOMFIELD, MI 483223425
Phone: (248) 963-0919
Type: Mailing
422 N CENTER ST
SUITE B
NORTHVILLE, MI 481671224
Phone: (248) 449-7156
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $4,127.
Total Amount is formed as General ($4,127) + Research ($0) + Ownership ($0) = $4,127.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Paragon 28, Inc. ($3,348).
Total Amount
$4,127
General + Research + Ownership
Payments
42
Total payment records
General Amount
$4,127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paragon 28, Inc. | $3,348 |
| Smith+Nephew, Inc. | $189 |
| Stryker Corporation | $172 |
| ConvaTec Inc. | $35 |
| DePuy Synthes Sales Inc. | $33 |
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: 2017-06-08
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 |
|---|---|---|---|---|
| I20170608001479 | I | Podiatry | 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 |
|---|---|---|---|---|
| G0127 | Trimming of dystrophic nails, any number | 369 | 188 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 350 | 191 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 39 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 54 | 17 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 48 | 44 | $0 |
Insurance plans in this area (ZIP 48322)
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