DR. JACOB DOUGLAS COLLINS (DO) – Emergency Medicine Physician, NPI 1245850627
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,172 EMERGENCY MEDICINE in MN
Provider Addresses for DR. JACOB DOUGLAS COLLINS (DO)
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 554355435
Phone: (952) 767-4574
Type: Mailing
701 Dellwood St S
Cambridge, MN 550081920
Phone: (952) 767-4574
Type: Location
4050 Coon Rapids Blvd NW
Coon Rapids, MN 554332522
Phone: (952) 767-4574
Type: Location
303 Catlin St
Buffalo, MN 553131947
Phone: (952) 767-4574
Type: Location
701 PARK AVE
MINNEAPOLIS, MN 554151623
Phone: (612) 873-3000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Novo Nordisk Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $15 |
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: 2023-06-30
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 |
|---|---|---|---|---|
| I20230630002054 | I | Emergency Medicine | MN | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 81 | 80 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 78 | 66 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 35 | 35 | $0 |
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Physician Assistant | MN | |
| - | WA | |
| Emergency Medicine | MN | |
| - | MN | |
| Physician Assistant | IA | |
| Emergency Medicine | MN | |
| - | MN | |
| Physician Assistant | MN | |
| Emergency Medicine, Internal Medicine | MN |
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