LISA WAITE JACOBSON (D.O.) – Facial Plastic Surgery Physician, NPI 1922073766
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
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Provider Addresses for LISA WAITE JACOBSON (D.O.)
Cadillac Dynamic Physical Therapy, 8872, Professional Drive, Clam Lake Township, Wexford County, Michigan, 49601, United States
CADILLAC, MI 496018481
Phone: (231) 779-6260
Fax: (231) 779-6264
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 9 Open Payments records for all available years, with a total value of $261.
Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: GENZYME CORPORATION ($74).
Total Amount
$261
General + Research + Ownership
Payments
9
Total payment records
General Amount
$261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-05-05
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 |
|---|---|---|---|---|
| I20090505000050 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 253 | 169 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 229 | 143 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 113 | 113 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 60 | 50 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 49 | 37 | $0 |
Insurance plans in this area (ZIP 49601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI |
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