JACOB BLAINE FLEECS (MD) – Diagnostic Radiology Physician, NPI 1043716954
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
248 DIAGNOSTIC RADIOLOGY in NE
Provider Addresses for JACOB BLAINE FLEECS (MD)
PO BOX 1725
GRAND ISLAND, NE 688021725
Phone: (308) 398-6400
Fax: (308) 398-6408
Type: Mailing
3610 RICHMOND CIR STE 100
GRAND ISLAND, NE 688033910
Phone: (308) 398-6400
Fax: (308) 398-6408
Type: Location
4401, Wornall Road, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States
KANSAS CITY, MO 641113220
Phone:
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: 2024-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230601000559 | I | Diagnostic Radiology | WI | TBD |
| I20231002000427 | I | Diagnostic Radiology | MO | TBD |
| I20240515003362 | I | Diagnostic Radiology | NE | 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 |
|---|---|---|---|---|
| 74018 | X-ray of abdomen, 1 view | 95 | 82 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 56 | 56 | $0 |
| 74230 | Imaging for evaluation of swallowing function | 27 | 26 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 16 | 16 | $0 |
| 71045 | X-ray of chest, 1 view | 14 | 14 | $0 |
Insurance plans in this area (ZIP 68802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | OK | |
| - | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | CO | |
| Physician Assistant | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | NE | |
| Interventional Radiology | NE |
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