ROY G JACOB (MD) – Neuroradiology Physician, NPI 1851596530
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for ROY G JACOB (MD)
11995 Singletree Ln Ste 500
Eden Prairie, MN 553445349
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
3600 Minnesota Dr Ste 800
Edina, MN 554357915
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
University Medical Center, 602, Indiana Avenue, Lubbock, Lubbock County, Texas, 79415, United States
LUBBOCK, TX 794153364
Phone: (806) 775-8400
Type: Mailing
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: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20141031002017 | I | Diagnostic Radiology | TX | TBD |
| I20160510000119 | I | Diagnostic Radiology | OK | TBD |
| I20240122000263 | I | Diagnostic Radiology | MI | TBD |
| I20240429001516 | I | Diagnostic Radiology | SC | TBD |
| I20250729003854 | I | Diagnostic Radiology | IL | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 228 | 190 | $0 |
| 71045 | X-ray of chest, 1 view | 181 | 164 | $0 |
| 70551 | Mri scan of brain without contrast | 85 | 82 | $0 |
| 72125 | Ct scan of upper spine without contrast | 67 | 64 | $0 |
| 70553 | Mri scan of brain before and after contrast | 50 | 46 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | PA | |
| P S Y C H I A T R Y | NY | |
| Internal Medicine, Hospice/Palliative Care | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA |
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