DR. JACOB ARTHUR LIVERMORE (M.D.) – Diagnostic Radiology Physician, NPI 1174649206

DR. JACOB ARTHUR LIVERMORE (M.D.) is a healthcare provider. based in Ypsilanti, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301083916 (MI). The NPI Number for DR. JACOB ARTHUR LIVERMORE (M.D.) is 1174649206

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB ARTHUR LIVERMORE (M.D.)
NPI
1174649206
Phone
(734) 712-8350
Address
5333 MCAULEY DR
Enumeration Date
21 March 2007
Last Update Date
30 August 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7347128350
Graduation Year
2004 (22 years ago)
PAC ID
0042362162
Group Practice PAC ID
2961466859
Professional Enrollment ID
I20090720000523
Address ID
MI481971005YP5333XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,649 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for DR. JACOB ARTHUR LIVERMORE (M.D.)

  • 5333 MCAULEY DR

    SUITE 6016

    YPSILANTI, MI 481971014

    Phone: (734) 712-8350

    Fax: (734) 712-8351

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-07-20

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
I20090720000523IDiagnostic RadiologyMITBD

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
71045X-ray of chest, 1 view560503$0
71046X-ray of chest, 2 views407399$0
73721Mri scan of leg joint without contrast256248$0
74177Ct scan of abdomen and pelvis with contrast245245$0
73221Mri scan of arm joint without contrast194189$0
View full utilization report →

Insurance plans in this area (ZIP 48197)

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Provider's Procedures

DR. JACOB ARTHUR LIVERMORE (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front1020858
DIAGNOSTIC RADIOLOGYMI71250CT scan chest9493
DIAGNOSTIC RADIOLOGYMI73562X-ray of knee, 3 views8274
DIAGNOSTIC RADIOLOGYMI74177CT scan of abdomen and pelvis with contrast280275
DIAGNOSTIC RADIOLOGYMI77012Radiological supervision and interpretation of CT guidance for needle insertion1111

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: 2961466859View full group profile
NameSpecialtyState
Interventional RadiologyMI
Diagnostic RadiologyIN
Diagnostic RadiologyMI
Diagnostic RadiologyCA
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Interventional RadiologyTX
Diagnostic RadiologyMI
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

What federal number belongs to DR. JACOB ARTHUR LIVERMORE (M.D.)?
The federal identifier for DR. JACOB ARTHUR LIVERMORE (M.D.) is NPI 1174649206.
Is DR. JACOB ARTHUR LIVERMORE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. JACOB ARTHUR LIVERMORE (M.D.) work in?
You can think of DR. JACOB ARTHUR LIVERMORE (M.D.) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JACOB ARTHUR LIVERMORE (M.D.)?
We surface Ypsilanti, Michigan for DR. JACOB ARTHUR LIVERMORE (M.D.) based on available NPPES addresses.
How can I contact DR. JACOB ARTHUR LIVERMORE (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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