DR. ZACHARY DAVID JACOBS (MD) – Allergy & Immunology Physician, NPI 1215033840
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
115 ALLERGY/IMMUNOLOGY in MO
Provider Addresses for DR. ZACHARY DAVID JACOBS (MD)
2401 Gillham Rd
Kansas City, MO 641084619
Phone: (816) 234-3097
Fax: (816) 346-1301
Type: Location
4440 BROADWAY BLVD
KANSAS CITY, MO 641113315
Phone: (816) 531-0930
Fax: (816) 531-2807
Type: Mailing
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
KANSAS CITY, MO 641084619
Phone: (816) 234-3097
Fax: (816) 346-1301
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 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: 2023-01-30 • Largest payer in this snapshot: PFIZER INC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
2
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2023-01-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $15 |
| Consortium of Independent Immunology Clinics, LLC | $0 |
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: 2011-06-21
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 |
|---|---|---|---|---|
| I20110621000672 | I | Allergy/Immunology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2182 | Injection, mepolizumab, 1 mg | 9,400 | 14 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,090 | 38 | $0 |
| J0517 | Injection, benralizumab, 1 mg | 1,080 | 11 | $0 |
| 95004 | Test for allergy using allergenic extract | 765 | 15 | $0 |
| 95117 | Professional service for multiple injections of allergen | 430 | 35 | $0 |
Insurance plans in this area (ZIP 64108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | MO | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 521 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Internal Medicine | MO | |
| N E U R O L O G Y | MO | |
| Rheumatology, Internal Medicine | MO | |
| Allergy/Immunology, Internal Medicine | MO | |
| Rheumatology, Internal Medicine | MO | |
| Internal Medicine, Rheumatology | MO | |
| - | MO | |
| Rheumatology, Internal Medicine | KS | |
| Rheumatology, Internal Medicine | MO | |
| Rheumatology, Internal Medicine | MO |
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