MYRON H JACOBS (M.D.) – Pulmonary Disease Physician, NPI 1255322731
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MYRON H JACOBS (M.D.)
Christian Hospital Northeast, 11133, Dunn Road, Saint Louis County, Missouri, 63136, United States
SUITE 2335
SAINT LOUIS, MO 631366119
Phone: (314) 653-5007
Fax: (314) 653-4149
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 50 Open Payments records for all available years, with a total value of $1,017.
Total Amount is formed as General ($1,017) + Research ($0) + Ownership ($0) = $1,017.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Electromed, Inc. ($170).
Total Amount
$1,017
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,017
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Electromed, Inc. | $170 |
| Itamar Medical Inc | $107 |
| Regeneron Healthcare Solutions, Inc. | $101 |
| Baxter Healthcare | $78 |
| Amgen Inc. | $75 |
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: 2008-12-10
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 |
|---|---|---|---|---|
| I20081210000530 | I | Pulmonary Disease | 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 63136)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | MO | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Pulmonary Disease, Internal Medicine | MO | |
| Internal Medicine, Pulmonary Disease | MO | |
| - | MO | |
| Internal Medicine, Pulmonary Disease | MO | |
| Pulmonary Disease, Internal Medicine | MO | |
| Pulmonary Disease, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Pulmonary Disease, Internal Medicine, Internal Medicine, Critical Care (Intensivists) | MO |
Reviews
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