JACOB BAST – Medical Physician Assistant, NPI 1194296186
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for JACOB BAST
6439 Fordyce Bluffs Dr
Saint Louis, MO 631295062
Phone: (314) 933-6577
Type: Location
6439, Fordyce Bluffs Drive, Fordyce Bluffs, Oakville, Saint Louis County, Missouri, 63129, United States
SAINT LOUIS, MO 631295062
Phone: (314) 933-6577
Type: Mailing
St. Anthony's Medical Center, 10010, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States
SAINT LOUIS, MO 631282106
Phone: (314) 525-1000
Type: Location
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 $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($114).
Total Amount
$114
General + Research + Ownership
Payments
1
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $114 |
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: 2020-05-18
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 |
|---|---|---|---|---|
| I20200518000387 | I | Physician Assistant | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63129)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists) | MO | |
| Pulmonary Disease | MO | |
| Critical Care (Intensivists) | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Critical Care (Intensivists), Internal Medicine | MO | |
| Hospitalist, Pulmonary Disease, Critical Care (Intensivists) | MO | |
| Nurse Practitioner | MO |
Reviews
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